| NPI | 1811018757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLE C SANTORO Sr Director Ar 832-467-5728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC NH0277) |
| Additional Taxonomies | 311Z00000X Custodial Care Facility (Licence: NC NH0277) |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NC NH0277) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2015-04-10 |