| NPI | 1295070225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENNIS SVANDA Owner/Operator 316-665-9996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: KS BO87158) |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2012-12-03 |