| NPI | 1861687410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA SONIA MANCILLA Care Provider 915-590-5337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: TX 120565) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2007-09-06 |