| NPI | 1548722283 |
|---|---|
| Doing Business As | GRAND PAVILION AT THE PLAZA |
| Entity Type | Organization |
| Authorized Contact | WILLIAM MATTHEW NOVOTNY Manager 785-313-0946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |