| NPI | 1861559841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY BLAKE Managing Member 817-832-3654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TX 117173) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-10-31 |