| NPI | 1952761355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: TX 126482) |
| Additional Taxonomies | 171W00000X Contractor (Licence: TX 126482) |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2021-10-04 |