| NPI | 1104967363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY D. UNDERWOOD Partner 940-374-3804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TX 000312) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |