| NPI | 1073677951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANITA M. BERG President 972-524-9884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TX 119106) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |