| NPI | 1578631024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA REDMAN CEO 903-595-5644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2011-03-14 |