| NPI | 1568433076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH FUENTEZ Administrator 785-439-6211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: KS N-015-001) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: KS N-015-001) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2020-08-22 |