| NPI | 1669977179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL OLOF EVANS Administrator 737-228-5769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 113733) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-03-27 |