NPI | 1487030805 |
---|---|
Entity Type | Organization |
Authorized Contact | SARAH C DIEHL Owner 785-304-9254 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
Additional Taxonomies | 251E00000X Home Health |
261Q00000X Clinic/Center (Licence: KS 17-02636) | |
Enumeration Date | 2015-08-07 |
Last Update Date | 2023-09-06 |