| NPI | 1275626855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS P MARINE Administrator 816-324-3185 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 034371) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-12 |