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
—
—
251J00000X
Nursing Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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