| NPI | 1811035124 |
|---|---|
| Doing Business As | DBA GOLDEN VILLA |
| Entity Type | Organization |
| Authorized Contact | LEONARD M. JESTER Administrator 903-796-0290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: TX 117876) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2008-12-15 |