| NPI | 1104038264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAIR VIVARD CLARKE Owner 713-459-1753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TX 117656 VENDOR 100958) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |