| NPI | 1982063772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSIE ENGELS Owner 316-992-2119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: KS B040002) |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2016-02-22 |