| NPI | 1013199942 |
|---|---|
| Doing Business As | HILLSIDE GUEST HOME |
| Entity Type | Organization |
| Authorized Contact | DEBRA RENE' MORTER President 620-223-6132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: KS B-006-003) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2007-12-03 |