| NPI | 1265758007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMALAR GAYE WASHINGTON Administrator 972-358-1026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2010-04-19 |