NPI | 1083298996 |
---|---|
Entity Type | Organization |
Authorized Contact | PRISCILLA GRANT Program Director 469-685-3470 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2021-05-06 |
Last Update Date | 2021-05-13 |