| NPI | 1386837110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFREDO E. EGBADON Administrator 816-942-4898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MO 251E00000X) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2007-08-24 |