| NPI | 1306043120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON GRAY Administrator 316-262-7376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KS A087039) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-08-22 |