| NPI | 1972047249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATE NWIKE Administrator 214-647-1551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-07 |