| NPI | 1861932766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEVANS ODHUNO RN 316-777-6477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: KS B087221) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |