| NPI | 1851509632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REYNALDO CRUZ MEDINA Manager 409-363-4171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TX 119564) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |