James W Wallace DBA Southern Wind Manor
NPI #1407997380 in Pittsburg, Texas
Provider Information
- NPI Number
- 1407997380
- Entity Type
- Organization
- Organization Name
- James W Wallace DBA Southern Wind Manor
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Feb 12, 2007
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MELISSA DYER
- Title
- ADMINISTRATOR
- Phone
- (903) 855-1555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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