| NPI | 1477567204 |
|---|---|
| Doing Business As | RUSSELL REGIONAL HOSPITAL MAIN STREET MANOR |
| Entity Type | Organization |
| Authorized Contact | DAVID CAUDILL CEO 785-483-0708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: KS H084001) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2022-11-16 |