| NPI | 1982759825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE J BUCHANAN Owner Operator 913-287-8304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: KS B105115) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |