| NPI | 1508171307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELENA MUSCHELLE OVERTON Director 913-638-0523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: KS B0105) |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: KS b105) |
| 385H00000X Respite Care (Licence: KS b105) | |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2010-08-17 |