NPI | 1871635979 |
---|---|
Other Name | AUTUMN PLACE |
Entity Type | Organization |
Authorized Contact | BRAD CARSON President 620-856-3678 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: KS N011007) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2020-08-22 |