| NPI | 1114041811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN ZHAO Activity Manager 281-380-8158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: TX 117648) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2021-03-16 |