| NPI | 1124962311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHELE JOHNSON Owner 254-499-6269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2026-04-16 |
| Last Update Date | 2026-04-16 |