| NPI | 1629526074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONEISHA MILNER Licensed Practical Nurse 832-727-0118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL PN5211100) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |