| NPI | 1104399971 |
|---|---|
| Doing Business As | WATERFORD LADIESHOME |
| Entity Type | Organization |
| Authorized Contact | JIM PEARSON General Partner 913-631-0127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2019-01-04 |