NPI | 1932311693 |
---|---|
Doing Business As | THE VILLAGE WEST |
Entity Type | Organization |
Authorized Contact | JASON WADE WILKINSON Adm Office Mgr Owner 816-632-1121 |
Organization Subpart ? | No |
Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: MO 033245) |
Enumeration Date | 2007-05-04 |
Last Update Date | 2020-08-22 |