| NPI | 1093554669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA A WREN Owner 682-772-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances |
| 311500000X Alzheimer Center (Dementia Center) | |
| 311Z00000X Custodial Care Facility | |
| 311ZA0620X Custodial Care Facility Adult Care Home | |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-05-22 |