NPI | 1568841203 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH JAMES GREEN General Manager/Administrator 469-387-9632 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2015-05-27 |
Last Update Date | 2015-05-27 |