| NPI | 1639160153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN ROBBINS Administrator 620-275-9651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric (Licence: KS N028002) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2020-08-22 |