NPI | 1962462143 |
---|---|
Other Name | DBA VALLEY GRANDE MANOR |
Entity Type | Organization |
Authorized Contact | WILLIAM LOWE Administrator 956-968-2121 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 115061) |
Enumeration Date | 2006-03-23 |
Last Update Date | 2008-03-21 |