| NPI | 1205264413 |
|---|---|
| Doing Business As | EXTENDED LIFE ADULT DAY CARE |
| Entity Type | Organization |
| Authorized Contact | JASMINE PADDIO Member 281-624-7556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2013-10-24 |