| NPI | 1962604538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | F. EUGENE MAYO Director 214-703-8047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX 125262) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2008-12-10 |