| NPI | 1821825084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARRON HORTON Officer 817-771-8521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-19 |