NPI | 1154517043 |
---|---|
Entity Type | Organization |
Authorized Contact | MARTHA DEAN BROWN Administrator 903-583-8380 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2007-09-24 |
Last Update Date | 2007-09-24 |