| NPI | 1902597503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIMINA NJAU TUBEI Owner 913-265-2729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2023-05-16 |