| NPI | 1083929780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATONIA JENNINGS Program Director 972-523-5043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: TX 001009005) |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2010-08-18 |