| NPI | 1518091552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY RAE GROMER Manager 620-235-0522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: KS 310400000X) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2008-07-02 |