| NPI | 1558054122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA R PITRE Owner 972-750-0074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 385H00000X Respite Care | |
| 251J00000X Nursing Care | |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2023-05-31 |