| NPI | 1558799031 |
|---|---|
| Doing Business As | PRAIRIE VISTA VILLAGE |
| Entity Type | Organization |
| Authorized Contact | SCOTT E GULLEDGE Manager 913-890-4782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2013-10-21 |
| Last Update Date | 2015-03-18 |