| NPI | 1689840266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA DENEAN JOHNSON C.O.T.A. 903-557-0746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 209900) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |