| NPI | 1770948176 |
|---|---|
| Former Legal Business Name | INDEPENDENT MENTALLY ILL ADULT HOUSING |
| Entity Type | Organization |
| Authorized Contact | SAPRINA DOVELL WINB Owner 469-236-4913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2020-12-03 |