NPI | 1700084803 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIE CHRISTINE WEBB PT A 325-721-6086 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX 2060067) |
Enumeration Date | 2007-07-10 |
Last Update Date | 2020-08-22 |