NPI | 1306444799 |
---|---|
Entity Type | Organization |
Authorized Contact | LEONARD CHINONSO IHENETU Director 832-692-3851 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
Enumeration Date | 2020-10-16 |
Last Update Date | 2020-10-16 |