| NPI | 1457542029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILBERT DE ALBA Director 915-543-9889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: TX 001014328) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2008-07-25 |