| NPI | 1841537495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE NICHOLAS Speech Language Patholigist 806-543-9533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2013-01-15 |