| NPI | 1457551509 |
|---|---|
| Other Name | MHMRABV HCS/TX HM LVG |
| Entity Type | Organization |
| Authorized Contact | BILL KELLY Executive Director 979-822-6467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2024-03-26 |