| NPI | 1083133458 |
|---|---|
| Doing Business As | SUNPORCH OF DODGE CITY |
| Entity Type | Organization |
| Authorized Contact | JOHN RICHARD GRACE Executive Director 785-506-6003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2017-09-16 |
| Last Update Date | 2017-09-16 |