| NPI | 1578281739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA RICKETTS Administrator 682-336-1943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251E00000X Home Health |
| 311Z00000X Custodial Care Facility | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2024-07-23 |