| NPI | 1508054784 |
|---|---|
| Doing Business As | MIDDERS PLACE |
| Entity Type | Organization |
| Authorized Contact | DEBBIE BRAZIEL Owner 817-568-9020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2007-10-12 |