| NPI | 1588083661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMIKA NORCHELLE ROGERS Medical Assistant 832-967-5971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2014-04-16 |