| NPI | 1912298712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY BURNETT Operator 316-832-0007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: KS B087169) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2011-04-27 |