| NPI | 1770648982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA L LOFTICE Ar Manager 972-479-0844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 108291) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |