| NPI | 1598507337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA FROST Owner 785-817-5345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Additional Taxonomies | 261QA0600X Clinic/Center Adult Day Care |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-06-12 |