| NPI | 1962797340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT O FAKEYE Administrator 913-271-3763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2011-06-14 |