| NPI | 1477345957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA MORALES Owner 316-258-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2025-05-20 |
| Last Update Date | 2025-06-10 |