| NPI | 1962491662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY RANDLE Business Office Manager 409-267-3164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 112909) |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2008-06-17 |