| NPI | 1366311680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA L WILLITS Managing Owner 785-393-4655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2025-11-04 |
| Last Update Date | 2025-11-04 |