| NPI | 1407110455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLONDA MARIA CARNEY Sole Proprieter 817-583-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2012-06-25 |