| NPI | 1801210091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKSON EHIOGUH Administrator 972-708-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 731841) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2014-02-10 |