| NPI | 1427056803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLEY KOONS CFO 620-355-7111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 372500000X Chore Provider (Licence: KS H-047-001) |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2021-10-04 |