| NPI | 1144568189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI BUNYAN Owner 620-408-6550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: KS B087184) |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2013-01-25 |