NPI | 1366502197 |
---|---|
Doing Business As | LEAVENWORTH HOMESTEAD |
Entity Type | Organization |
Authorized Contact | MICHAEL D TRYON CFO 785-272-1535 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: KS 200004380A) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2020-08-22 |