| NPI | 1114995701 |
|---|---|
| Doing Business As | SOUTH MAPLE HOUSE |
| Entity Type | Organization |
| Authorized Contact | COLIN MCKENNEY CEO 620-241-6693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: KS N-059-012) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2008-06-17 |