| NPI | 1568880474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDETTE CYNTHIA ROBERTS Owner 210-255-8056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: TX 137591) |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2014-03-29 |