| NPI | 1033374475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD L SAXTON President 1816-350-3142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2008-07-24 |