| NPI | 1023247806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY LEMANSKI Staff Nurse 913-588-1551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 534297-1) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2011-11-16 |