| NPI | 1316113343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAOLO ILAGAN President 832-883-9913 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: TX 121736) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: TX 121736) |
| 385H00000X Respite Care (Licence: TX 121736) | |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |