| NPI | 1528040797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERLE KOEHN Administrator 620-846-2241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: KS N035001) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2020-08-22 |