NPI | 1679773170 |
---|---|
Doing Business As | WHITE RIVER CARE CENTER |
Entity Type | Organization |
Authorized Contact | GERALD DWAIN FOWLER President 214-912-4539 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 4312) |
Enumeration Date | 2007-07-23 |
Last Update Date | 2008-01-31 |