| NPI | 1356117790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADESUWA IFEANYI-OGBODO Nurse Practioner 620-704-7055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 177F00000X Lodging |
| 251G00000X Hospice Care, Community Based | |
| 251J00000X Nursing Care | |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2023-11-28 |