| NPI | 1790295558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN SEIB Manager 214-752-7050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MO 045258) |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2017-10-06 |