NPI | 1598215428 |
---|---|
Entity Type | Organization |
Authorized Contact | MALATHI TADAKAMALLA CEO 913-226-7332 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MO 2015016093) |
Enumeration Date | 2016-10-04 |
Last Update Date | 2016-11-11 |