| NPI | 1730209677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLE C SANTORO Sr Director Ar 832-467-5728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC NH0337) |
| Additional Taxonomies | 311Z00000X Custodial Care Facility (Licence: NC NH0337) |
| 311ZA0620X Custodial Care Facility Adult Care Home (Licence: NC NH0337) | |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NC NH0337) | |
| 310400000X Assisted Living Facility (Licence: NC NH0337) | |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2020-11-16 |