| NPI | 1558192922 |
|---|---|
| Doing Business As | WILDWOOD TERRACE ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | PATRICK IVBIEVBIOKUN Manager 281-381-0422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2024-08-08 |
| Last Update Date | 2024-08-08 |