| NPI | 1528409067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY RENE LEWIS Adminastrator 832-894-3997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2013-07-12 |