| NPI | 1942559968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRIA DESHON LUCKETT Owner/ Administrator 832-516-8983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2012-10-18 |