| NPI | 1588084990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAY L CUMMINS Owner/Operator 620-546-1664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: KS 13-87045-082) |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2014-04-24 |