| NPI | 1588641823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REX MARIS Administrator 620-459-6822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KS N078017) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: KS N078017) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2008-04-15 |