| NPI | 1417294661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE POWELL President 817-386-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TX 104275) |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2013-03-04 |