| NPI | 1225246317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY D. SULLIVAN Owner 316-516-6242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X (Licence: KS 100417670A) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: KS 100417670A) |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2016-06-02 |