| NPI | 1972693406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONA LYNN KELLEY Administrator 806-285-2677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 116634) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX 116634) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-07-13 |