| NPI | 1174759575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN KAY ENGELS Owner/Operator 316-992-2119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: KS B087155) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: KS B087162) |
| Enumeration Date | 2009-05-31 |
| Last Update Date | 2009-06-01 |