| NPI | 1518470186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN ENGELS Member 316-992-2119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: KS B029001) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2017-11-06 |