| NPI | 1871616904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY WILLIAMSON Billinb 325-372-5179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 118466) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |