| NPI | 1851543847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY CHARLES MONCADA Owner 210-618-5203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TX 121662) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |