| NPI | 1548508211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN K ENGELS Owner/Operator 316-992-2119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2022-07-21 |