NPI | 1700193588 |
---|---|
Doing Business As | BRENTWOOD PLACE FOUR |
Entity Type | Organization |
Authorized Contact | FREDERICK P CERISE CEO 214-590-8006 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2010-09-01 |
Last Update Date | 2018-11-16 |