| NPI | 1750794574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN EDEN Manager 214-220-4909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 135098) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: TX 138806) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2025-10-06 |