| NPI | 1922594118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA MARTINEZ Owner Manager 915-253-3984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: TX LHOC18-00043) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |