| NPI | 1407628068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARNETTE TINEO Administrator 984-480-6535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 177F00000X Lodging |
| 253Z00000X In Home Supportive Care | |
| 310400000X Assisted Living Facility | |
| Enumeration Date | 2023-10-26 |
| Last Update Date | 2023-10-26 |