| NPI | 1588009823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM VAN QUACH Administrator 469-321-3066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2019-05-24 |