| NPI | 1376198465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARNOT W MUNGUYA Administrator 316-617-1788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2019-09-24 |