| NPI | 1184109803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MANZANO Director Of Revenue Cycle 316-312-7780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2021-02-16 |