| NPI | 1710214101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY J LUNSFORD Director 316-440-4167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: KS B087167) |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2009-11-05 |