NPI | 1437145620 |
---|---|
Doing Business As | SHADY LAWN NURSING HOME |
Entity Type | Organization |
Authorized Contact | THOMAS HUDSPETH COO CFO 816-324-5991 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 031268) |
Enumeration Date | 2005-09-22 |
Last Update Date | 2010-02-19 |