| NPI | 1760538052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA A JOHNSON Owner 214-372-8490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: TX 112636) |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2008-06-17 |