| NPI | 1851600688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM MICHAELS Owner 210-870-0923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX L0869) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: TX L0869) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2010-09-28 |