| NPI | 1568168979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC LYNN FLICKINGER Owner 816-678-3871 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2023-02-07 |