| NPI | 1669912564 |
|---|---|
| Doing Business As | NOT USED NPI |
| Entity Type | Organization |
| Authorized Contact | GARY KENDRICK CEO 936-568-8523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-03-28 |