| 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 |