| NPI | 1669128112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKEZIA ANN ACHILA CEO 972-522-8909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2025-01-07 |