| NPI | 1437160769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UDUAK ESSIEN MEDUA Administrator 512-228-3737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TX 117615) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-08-22 |