| NPI | 1033825963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTA SCHMIDT Owner 316-390-6941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2023-01-24 |