| NPI | 1922044734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DECKER CFO 409-762-6661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TX 140773) |
| Additional Taxonomies | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2019-12-09 |