| NPI | 1750813218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELLEN MURAGE Administrator 469-855-7196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |