| NPI | 1154630887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDITH LEWIS SENEGAL Owner Administrator 214-676-3468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: LA 40082978n) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2010-09-29 |