| NPI | 1992830160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAEBELLE YARBROUGH Administrator 936-347-2234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX 118198) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |