| NPI | 1083081525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN WOOLERY Member 785-217-5999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MO 043278) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2020-12-09 |