| NPI | 1902276082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK PAUL BATRICE Sole Prop 817-465-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX K2845) |
| Additional Taxonomies | 282E00000X (Licence: TX K2845) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2024-03-13 |