| NPI | 1598125718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELEINA KIROREI President 832-646-0581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 363LA2200X Nurse Practitioner Adult Health | |
| 363LF0000X Nurse Practitioner Family | |
| 363LG0600X Nurse Practitioner Gerontology | |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2016-05-26 |