| NPI | 1780164517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN WILCOX CEO 913-548-8559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| 311Z00000X Custodial Care Facility | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-08-21 |