| NPI | 1447740170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONIA O IKEGULU Director 469-855-1522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2021-08-18 |