| NPI | 1427929736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI BAKER Director Of Licensing 564-203-3620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) |
| Enumeration Date | 2025-09-17 |
| Last Update Date | 2025-11-24 |