| NPI | 1659497774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY E SMITH Owner Operator 913-362-4942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IL 0023010) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2008-06-26 |