| NPI | 1760557763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN SANDERS Administrator 913-909-7868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: MO 2607-9454) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2020-08-22 |