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 |