| NPI | 1083960553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENNIE NAE BOXX Owner/Operator 785-234-2989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: KS BO89070) |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2012-08-02 |