| NPI | 1588641088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY M KELSO President 816-232-9573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: UT 2005 NCF 471) |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2020-08-22 |