| NPI | 1114270147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAZELL E OFIELD President/Owner 816-721-3316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2012-10-15 |