| NPI | 1063744019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD L BURKEY Owner 620-793-7624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KS 213E00001X) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: KS 213E00001X) |
| 315D00000X Hospice, Inpatient (Licence: KS 213E00001X) | |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2016-02-04 |