| NPI | 1326397126 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | RONALDA MARIE STELLY Manager/Owner 281-458-7277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2012-09-07 |