| NPI | 1700253150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE IYEWARUN Director/Manager 816-272-2671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MO LC001426956) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2015-09-01 |