| NPI | 1124335161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMISHA A CROWLEY Owner/Cna/Ma 832-880-7923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-09-13 |