| NPI | 1194006213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAT HENRY VP Or Srs Division 1800-677-1238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: KS 17-01855) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2011-09-01 |