| NPI | 1003042862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IFEOMA OSUALA Manager 816-569-4801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MO 816) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2009-06-08 |