| NPI | 1962713800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELVIRA JENNIE CADENA Owner 830-914-3371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2021-01-13 |