| NPI | 1831024173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA AGUIRRE Administrator 469-502-0867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2026-06-17 |
| Last Update Date | 2026-06-17 |