| NPI | 1881839629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVAUGHN VINSON P.T.A. 210-386-9936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 2042778) |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2008-12-08 |