| NPI | 1245766005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA DOUTHITT Credentialing & Billing Specialist 913-334-4110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283X00000X Rehabilitation Hospital |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |