| NPI | 1356576219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MONTGOMERY Owner/President 713-454-4929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: TX 311za0620x) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: TX 311z00000x) |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2009-05-21 |