NPI | 1316130008 |
---|---|
Other Name | FAMILY LIFE |
Entity Type | Organization |
Authorized Contact | BIRDIA LEE FORD Adimistrator/Manager/Owner 817-375-0358 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2007-08-25 |
Last Update Date | 2007-08-25 |