| NPI | 1255686986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DANIEL YOUNG Secretary 816-916-8703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-07-18 |