| NPI | 1205145893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANGYI FOCHO FOGWE President 913-207-9255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances |
| Additional Taxonomies | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2010-10-02 |