| NPI | 1558570747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA MERCEDES ALEMAN Registered Nurse 939-630-2205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: PR 1780764) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |