| NPI | 1063661155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMMIE SUE DENNIS Owner/Manager 830-665-5049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: TX FOSTERCARE) |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2008-09-12 |