| NPI | 1164836540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISHIA WINDSOR Owner/Operator 620-308-6520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: KS 201089820A) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2023-04-06 |