| NPI | 1366507659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA JO MANGE Board Chairperson 816-517-4104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2008-05-16 |