| NPI | 1881256600 |
|---|---|
| Other Name | DBA LAKEWOOD 24 HR PERSONAL CARE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TX 148780) |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2020-01-14 |