| NPI | 1629447172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORETTA PERRO FISHER Owner 8326-680-0860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TX 102554) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-15 |