| NPI | 1427396118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA A TUBBS Owner/Operator 620-353-5351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: KS B047001) |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2013-01-30 |