| NPI | 1982145595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY HINKLE Accounting Specialist 316-448-0850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-03-15 |