NPI | 1083634919 |
---|---|
Doing Business As | EVENTIDE CONVALESCENT CENTER INC |
Entity Type | Organization |
Authorized Contact | M. MAC AUSTIN Administrator Owner 785-233-8918 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KS N089004) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2013-06-07 |