| NPI | 1538604079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHINONSO IHENETU Director 832-692-3851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility Adult Care Home |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2016-12-19 |