NPI | 1841301868 |
---|---|
Doing Business As | BUCKNER VILLA SIESTA HOME |
Entity Type | Organization |
Authorized Contact | CHARLES G. WILSON Senior Vice President 214-758-8031 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 113372) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2011-05-24 |