| NPI | 1124374228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILIA HERNANDEZ Owner 915-581-4285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TX 112278) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2012-07-26 |