| NPI | 1962537068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN KIMMEL CFO 325-670-2182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX 117944) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2008-07-22 |