| NPI | 1275115578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATINA LEVINGSTON Manager 903-293-7093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2021-04-26 |