| NPI | 1013369412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANNI ALLEN Owner 214-837-9646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TX 143866) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: TX 143866) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2016-07-08 |