| NPI | 1104956366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRA E COKLEY Administration 512-926-6813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TX 050603) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2008-07-16 |