| NPI | 1912142084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DEAN ALLISON President & CEO 254-230-8296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2008-12-03 |