| NPI | 1497942551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS FROWNFELTER Owner 620-592-2061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X (Licence: KS 200428600A) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: KS 200428600A) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2007-10-02 |