| NPI | 1558108290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE WRIGHT Manager 832-431-4357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2025-05-27 |