| NPI | 1831210293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI JANE CRIDER Administrator 660-273-2190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |