| NPI | 1699524298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA KENNEDY CEO 913-219-0208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2025-10-16 |