| NPI | 1861015836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD U OGUDO Owner 832-909-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2020-05-25 |
| Last Update Date | 2025-05-19 |