| NPI | 1972032373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARPER T PHILLIPS Director Owner 832-483-9982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2022-07-21 |