NPI | 1992844757 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA L REDMAN CEO 903-595-5644 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
Additional Taxonomies | 310400000X Assisted Living Facility |
Enumeration Date | 2007-02-06 |
Last Update Date | 2025-09-11 |