NPI | 1932368776 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL BUMPASS President 254-399-6788 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
Enumeration Date | 2008-06-06 |
Last Update Date | 2008-06-06 |