| NPI | 1306005863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL THOMA Member 913-492-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IL 5100141) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: IL 5100133) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2016-01-29 |