NPI | 1861117210 |
---|---|
Entity Type | Organization |
Authorized Contact | NTEESHA SHERLENE SMITH Program Manager 469-445-7333 |
Organization Subpart ? | No |
Primary Taxonomy | 251K00000X Public Health or Welfare |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
310400000X Assisted Living Facility | |
311ZA0620X Custodial Care Facility, Adult Care Home | |
Enumeration Date | 2022-10-07 |
Last Update Date | 2025-05-28 |