| NPI | 1326504028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MATTHEW NOVOTNY CEO 785-789-4750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2025-05-16 |