| NPI | 1235901554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEMITOPE MAKINDE-WELLS Administrator 903-480-2126 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2023-10-30 |