| NPI | 1750249702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN HIRAM BROOKS Manager 469-636-9564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2026-01-09 |
| Last Update Date | 2026-02-16 |