| NPI | 1376917351 |
|---|---|
| Other Name | MILAGRO ADULT FOSTER HOME |
| Entity Type | Organization |
| Authorized Contact | SYLVIA BONILLA-KRUEGER Administrator 915-642-4105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: TX LHOC15-00236) |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2015-11-13 |