NPI | 1316120553 |
---|---|
Doing Business As | COUNTRY PLACE HOME PLUS |
Entity Type | Organization |
Authorized Contact | PAULA DINKEL Executive Director 620-653-4121 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: KS B005002) |
Enumeration Date | 2007-12-11 |
Last Update Date | 2007-12-11 |