| NPI | 1235127630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOREEN ELIZABETH CRUTCHFIELD Administrator 816-231-3180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MO 031488) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2020-08-22 |