| NPI | 1861124802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUESTA ANTHONY CEO 832-943-0709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2024-05-07 |