| NPI | 1750193520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA B AZEEZ Managing Partner 469-881-6027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| 332U00000X Home Delivered Meals | |
| Enumeration Date | 2025-01-21 |
| Last Update Date | 2025-01-21 |