| NPI | 1710106349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONTA LANE Administrator 512-847-1603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 000047) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: AK 000047) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |