| NPI | 1740872019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA SHAVETTE HOLMES Owner 469-644-4311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251E00000X Home Health |
| 372600000X Adult Companion | |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2021-02-08 |