| NPI | 1932784485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVORAH ANN LOSTON Owner 832-373-7334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2021-03-16 |