| NPI | 1649272014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHEVA A VICTOR Administrator 785-542-2176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: KS NO23003) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2020-08-22 |