| NPI | 1568042422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMEKA E KEGLER Part Owner 713-857-2965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2021-04-13 |