| NPI | 1083889075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN JIMENEZ Managing Member 210-316-4557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |