| NPI | 1972632305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALDINE DOLORES WALKER Owner/Manager 210-445-7282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TX 116181) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: TX 101223) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-09-21 |