| NPI | 1083897227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE BENAVIDES Owner 830-980-2584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: TX 120440) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2007-12-11 |