| NPI | 1841083698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIAN DIGGS Program Manager 469-493-7066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| Enumeration Date | 2025-05-26 |
| Last Update Date | 2025-05-26 |