| NPI | 1649455387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIMITRA A KELLUM Director 281-370-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Additional Taxonomies | 385H00000X Respite Care |
| 314000000X Skilled Nursing Facility | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2007-12-31 |