| NPI | 1093431678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE MCCORVEY Owner 281-975-7934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2023-04-20 |