| NPI | 1174355085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEEPAK BENNY KURUVATHAZHA Managing Director 682-248-5132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-09-17 |