| NPI | 1174017057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRIE ANDERSON Director 469-396-2532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 171WH0202X Contractor, Home Modifications |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2023-10-26 |