NPI | 1083832414 |
---|---|
Doing Business As | THE PINES OF HIAWATHA |
Entity Type | Organization |
Authorized Contact | JOHN K COLEMAN President 785-484-3509 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
Enumeration Date | 2007-04-23 |
Last Update Date | 2020-08-22 |