| NPI | 1316864101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA ONYEJIAKA Program Manager 469-531-0448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 251B00000X Case Management |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2026-07-01 |
| Last Update Date | 2026-07-06 |