NPI | 1952584757 |
---|---|
Doing Business As | MADISONVILLE CARE CENTER |
Entity Type | Organization |
Authorized Contact | GARY BLAKE Managing Member 817-348-8959 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2007-12-14 |
Last Update Date | 2022-04-13 |