| NPI | 1891103404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARQUITA MURRAY Owner 816-213-7352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MO 2222) |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2014-07-28 |