| NPI | 1336263557 |
|---|---|
| Doing Business As | COUNTRY PLACE SENIOR LIVING |
| Entity Type | Organization |
| Authorized Contact | MISSY DAWN PFLUGHOEFT Operator 620-564-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: KS B00-5001) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2008-06-20 |