| NPI | 1508315177 |
|---|---|
| Former Legal Business Name | NONE |
| Entity Type | Organization |
| Authorized Contact | KAPALE JOSEPH DAKA Manager 210-251-5344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-09-23 |