| NPI | 1508319880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUSSEIN MOHAMED Program Director 214-779-8073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2016-08-03 |