| NPI | 1053756460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNA R. LARMAN L PT A 816-506-7766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 1999135156) |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-04-30 |