NPI | 1700300332 |
---|---|
Entity Type | Organization |
Authorized Contact | JOYCE BRANCH Administrator 214-597-1035 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Additional Taxonomies | 251E00000X Home Health |
311ZA0620X Custodial Care Facility, Adult Care Home | |
385H00000X Respite Care | |
Enumeration Date | 2017-07-26 |
Last Update Date | 2020-11-20 |