Itasca Long Term Care, LLC
NPI #1639373061 in Itasca, Texas
Provider Information
- NPI Number
- 1639373061
- Entity Type
- Organization
- Organization Name
- Itasca Long Term Care, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jun 11, 2007
- Last Updated
- Jul 12, 2007
Practice Location
Authorized Official
- Name
- MR. DAVID LAIN BYERS
- Title
- MANAGER
- Phone
- (210) 316-7790
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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