| NPI | 1467062869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCA OMESHAM EDOSA Business Owner 281-760-9422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2020-07-31 |