| NPI | 1639313067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERALD LESLIE PULLINS President 913-236-0036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: KS B046040) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: KS B046036) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2009-04-29 |