| NPI | 1134514565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY P WHITAKER Executive Director 832-491-1817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2015-05-04 |