| NPI | 1831183912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE BISHOP Administrator 979-776-7521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 004431) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2020-08-22 |