| NPI | 1831237205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ANN THEUS Administrator 210-226-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 119525) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |