NPI | 1265288666 |
---|---|
Entity Type | Organization |
Authorized Contact | GRACE GICHARU Owner/Operator 913-388-3893 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2024-04-26 |
Last Update Date | 2024-04-26 |