| NPI | 1538123484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT EDWARD GULLEDGE Mgr Of LLC 913-485-5164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KS N066-003) |
| Enumeration Date | 2006-04-15 |
| Last Update Date | 2010-03-19 |