| NPI | 1013284454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI TEEL Administrator 620-326-2232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KS 14-01557) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2011-11-30 |