| NPI | 1053604942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUSUDEEN ANGEL HARRELL Executive Director 816-523-1258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MO 039141) |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2011-05-25 |