| NPI | 1730702002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TUAN A NGUYEN Owner 816-812-1519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2022-01-27 |