NPI | 1659342301 |
---|---|
Doing Business As | HOLIDAY RESORT |
Entity Type | Organization |
Authorized Contact | MIKE SHANE KERBS Administrator 620-343-9285 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KS N056007) |
Enumeration Date | 2006-01-31 |
Last Update Date | 2011-11-17 |