| NPI | 1518253764 |
|---|---|
| Doing Business As | MICHELLE WATSON |
| Entity Type | Organization |
| Authorized Contact | MICHAEL CORDELL WATSON Owner 972-704-5866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2011-06-27 |