| NPI | 1871145532 |
|---|---|
| Doing Business As | SPARKLING FOUNTAIN HOMES |
| Entity Type | Organization |
| Authorized Contact | PRISCILLA GITOMBO RN/Operator 913-766-8526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 174200000X |
| 251J00000X Nursing Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 310400000X Assisted Living Facility | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 385H00000X Respite Care | |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-07-12 |