NPI | 1093194383 |
---|---|
Doing Business As | CARE FOR LIZ |
Entity Type | Organization |
Authorized Contact | DETRA THOMAS Owner 469-328-1042 |
Organization Subpart ? | No |
Primary Taxonomy | 311Z00000X Custodial Care Facility |
Additional Taxonomies | 253Z00000X In Home Supportive Care |
310400000X Assisted Living Facility | |
311ZA0620X Custodial Care Facility, Adult Care Home | |
Enumeration Date | 2015-05-20 |
Last Update Date | 2015-05-20 |