| NPI | 1336273069 |
|---|---|
| Doing Business As | MANOR HOME |
| Entity Type | Organization |
| Authorized Contact | SANDRA VANEATON Administrator 816-322-4209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2008-06-26 |