| NPI | 1972053296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLE C SANTORO Sr Director Ar 832-467-5728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |