| NPI | 1235541525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEATRICE TANG DISASI Operator 316-312-3237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: KS B087205) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2014-05-21 |