| NPI | 1194964007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALTON C. GUIDRY Administrator 316-390-7026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: KS A087128) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2009-02-17 |