| NPI | 1710422456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY PENN Manager 832-621-9359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TX 666663) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX 666663) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: TX 666663) | |
| 311500000X Alzheimer Center (Dementia Center) (Licence: TX 666663) | |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: TX 666663) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 666663) | |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: TX 666663) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 666663) | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: TX 666663) | |
| 3416L0300X Ambulance, Land Transport (Licence: TX 666663) | |
| 343800000X Secured Medical Transport (VAN) (Licence: TX 666663) | |
| 385H00000X Respite Care (Licence: TX 666663) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: TX 666663) | |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |