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 |