Provider First Line Business Practice Location Address:
5350 W 61ST PLACE
Provider Second Line Business Practice Location Address:
MISSION SPRINGS ALF
Provider Business Practice Location Address City Name:
MISSION
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66205
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-831-7700
Provider Business Practice Location Address Fax Number:
913-831-7733
Provider Enumeration Date:
04/26/2007