| NPI | 1689392276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELKIS TCHAKOTHE BESONG Administrator 913-544-4096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2022-11-17 |