| NPI | 1871899153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ANTIONE SINGLETON Cna 281-650-6891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX NA08127461) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: TX NA08127461) |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX NA08127461) | |
| 315D00000X Hospice, Inpatient (Licence: TX NA08127461) | |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2011-02-02 |