| NPI | 1659583912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADELINE C FLORES Owner 830-980-9713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: TX 118881) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2008-06-15 |