| NPI | 1346590593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAINY TESTAMICHAEL Owner 832-885-8291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2012-09-14 |