| NPI | 1295735082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FONTELLA FANT Administrator 785-434-4536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: KS N082001) |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2020-08-22 |