| NPI | 1164631768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A BUCKHOLTZ Executive Director 913-307-0665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: KS N046071) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |