| NPI | 1720537186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE WAYNE POWELL President 817-386-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TX 139406) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-09-27 |