NPI | 1750321139 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN M. WADE Vice President 830-278-5641 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 117473) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2020-08-22 |