| NPI | 1770878753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN H JACKSON Director 214-930-6346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TX 101259) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2011-06-17 |