| NPI | 1043752199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTIFANOS DEMELASH ABEBE Owner 512-909-7759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TX 141177) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |