| NPI | 1992028120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN R JOSEPH-VANDERPOOL Associate CEO 915-241-2012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2010-03-02 |