NPI | 1578808432 |
---|---|
Other Name | LUELLA CHILDS |
Entity Type | Organization |
Authorized Contact | LUELLA CHILDS Pastor / CEO Founder 469-324-6253 |
Organization Subpart ? | Yes |
Primary Taxonomy | 172A00000X Driver (Licence: TX 15089177CDL) |
Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: TX 15089177) |
Enumeration Date | 2012-12-04 |
Last Update Date | 2013-03-08 |