| NPI | 1790799245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARI COOK Medical Records Director 210-924-5533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX 313MOOOOOX) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |