| NPI | 1104225465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE JEAN SANDERS Owner 409-599-3889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: TX 140116) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-08-21 |