NPI | 1033112735 |
---|---|
Entity Type | Organization |
Authorized Contact | RAY VERNON President/CEO 620-663-9175 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KS 175383) |
Enumeration Date | 2005-05-27 |
Last Update Date | 2020-08-22 |