| NPI | 1851476725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN HOOVER Administrator 806-658-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX 117103) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |