| NPI | 1720699499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON OLUWATOSIN JOHNSON Owner 832-830-5322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2023-05-23 |