| NPI | 1306111547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOYOSORE K FASHOLA Owner/CEO 832-428-4011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-03-21 |