| NPI | 1902029473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERTHA G GARZA Administrator 512-926-7871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 119699) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |