| NPI | 1013200914 |
|---|---|
| Doing Business As | KENNYBROOK VILLAGE |
| Entity Type | Organization |
| Authorized Contact | GILBERT R WOOD Managing Member 913-599-5705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2017-01-26 |