| NPI | 1396959045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK WILLIAM CARROLL Owner 816-365-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MO 033937) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |