| NPI | 1629069844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA BAKER CFO 620-375-2233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: KS h102001) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2020-11-24 |