| NPI | 1407152663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELA LOVE Owner 316-201-6452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: KS B087168) |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2011-02-07 |