| NPI | 1962682831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH M BOECKNER CEO 785-625-0015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X (Licence: KS 200516660A) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: KS 200516660A) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2007-11-08 |