| NPI | 1578618021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD GRAY Adm 316-262-7115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: KS A087050) |
| Additional Taxonomies | 251E00000X Home Health (Licence: KS A087039) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |