| NPI | 1710945316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN M PHAIRIS Billing Manager 214-358-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 108673) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2020-08-22 |