NPI | 1285621862 |
---|---|
Doing Business As | PARKSIDE HOMES |
Entity Type | Organization |
Authorized Contact | GRETCHEN LEIGH WAGNER Executive Director 620-947-2301 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KS N-057-004) |
Enumeration Date | 2005-09-29 |
Last Update Date | 2015-07-20 |