| NPI | 1447643069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHONG H YU Managing Director 913-302-1785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AZ AL9654H) |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2015-03-05 |