| NPI | 1417946187 |
|---|---|
| Doing Business As | PARK LANE NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | KARYN HENDRIX Licensed Nursing Home Administrator 620-872-5871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: KS N086001) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2025-08-13 |