| NPI | 1306526702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FOLAKE OBIOMA Owner 214-277-2012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility Adult Care Home |
| 335G00000X Medical Foods Supplier | |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2023-07-24 |