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Organization
SPARKLING FOUNTAIN OF LOVE ADULT CARE HOMES
Active
Organization
SPARKLING FOUNTAIN OF LOVE ADULT CARE HOMES
Active
Other names
Sparkling Fountain Homes
Organization subpart
No
Provider details
NPI number
Authorized official
PRISCILLA GITOMBO (RN/OPERATOR)
(913) 766-8526
Entity
Organization
Contact information
Practice address
8525 SWITZER ROAD, OVERLANDPARK, KS 66214
(913) 766-8526
(913) 273-0242
Mailing address
8525 SWITZER ROAD, OVERLANDPARK, KS 66214
(913) 766-8526
(913) 273-0242
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
NULL
251J00000X
Nursing Care Agency
—
NULL
261QA0600X
Adult Day Care Clinic/Center
—
NULL
310400000X
Assisted Living Facility
—
NULL
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
NULL
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
385H00000X
Respite Care
—
NULL
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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