| NPI | 1215482070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHADERIA LAFAYE WALTON Owner 713-391-8793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251T00000X Program of All-Inclusive Care for the Elderly (PACE) Provider Organization |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2016-08-22 |