| NPI | 1417252321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OGHENERO EWURHIE President 281-277-6988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2011-01-24 |