| NPI | 1194261511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILOMENA C EKWEALOR Administrator 281-300-8765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances | |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |