| NPI | 1871581439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK JAMES VOGELSANG President 254-697-4985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 115833) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX 109457) |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2020-08-22 |