NPI | 1972704294 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVE VAUGHN Administrator 817-222-6000 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX 120545) |
Enumeration Date | 2007-05-31 |
Last Update Date | 2020-08-22 |