| NPI | 1366128464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEMITOPE O MAKINDE-WELLS Owner 903-480-2126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2023-06-23 |