NPI | 1043457526 |
---|---|
Entity Type | Organization |
Authorized Contact | SHELITA Y WOODS Owner/Manager 682-240-8181 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TX 103487) |
Additional Taxonomies | 310400000X Assisted Living Facility (Licence: TX 125490) |
Enumeration Date | 2009-01-20 |
Last Update Date | 2016-06-23 |