| NPI | 1003682915 |
|---|---|
| Other Name | LA CASA DE MI ABUELA |
| Entity Type | Organization |
| Authorized Contact | LEAR RIOJAS Executive Director 254-402-9466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 372600000X Adult Companion |
| Enumeration Date | 2023-12-01 |
| Last Update Date | 2023-12-01 |