| NPI | 1710382692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELBA ABREU Owner 316-305-3412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: KS B087207) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |