| NPI | 1104190263 |
|---|---|
| Other Name | KRCAREGIVER |
| Entity Type | Organization |
| Authorized Contact | KRISTINA LYNN RICHARDSON Care Giver 316-253-4101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-03-06 |