| NPI | 1245652064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARI A CAMERON Owner/Operator 316-650-4526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: KS B087201) |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-01-14 |