| NPI | 1114355476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON DECKINGER Owner 316-880-1742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: KS 200566240A) |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2013-10-24 |