| NPI | 1962891523 |
|---|---|
| Doing Business As | BRENTWOOD PLACE IV |
| Entity Type | Organization |
| Authorized Contact | DAVID K BYROM CEO 254-248-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2015-01-20 |