| NPI | 1922491505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEN MORAN Officer /Authorized Official 972-763-3893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2016-01-08 |