| NPI | 1649422247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAXINE ANGELLA BAILEY Owner 915-921-0139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: TX 08-03786) |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2008-10-15 |