NPI | 1235509522 |
---|---|
Doing Business As | HEARTLAND HAVEN |
Entity Type | Organization |
Authorized Contact | DAWNELLE ADCOCK Don / Owner 620-241-1074 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: KS B059012) |
Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: KS B059012) |
Enumeration Date | 2015-09-30 |
Last Update Date | 2016-04-13 |