| NPI | 1285838367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM JO NERKOWSKI Owner 214-770-1687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: TX 001007822) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2008-08-14 |