| NPI | 1902937329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELLIE L WATSON Owner Manager 210-922-0377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TX 030223) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |