| NPI | 1457052748 |
|---|---|
| Former Legal Business Name | HEARTLAND HAVEN |
| Entity Type | Organization |
| Authorized Contact | SABRINA M BADGETT Operator 620-585-6908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2023-03-14 |