| NPI | 1437379542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONTA LANE Adminstrator 512-847-1603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 000023) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: AK 000023) |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2020-08-22 |