| NPI | 1780922526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINA RICE Owner 913-593-7827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO 005296) |
| Additional Taxonomies | 251E00000X Home Health (Licence: MO 005296) |
| 251E00000X Home Health (Licence: KS 1704168) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: KS 1701468) | |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2013-01-29 |