| NPI | 1932329133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHODA YTE SALVADOR Administrator 817-423-0226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TX 120194) |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2007-12-10 |