| NPI | 1598893869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANNITY MARIE FARLEY Owner Operator 620-326-8749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: KS B096014) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2008-07-14 |