| NPI | 1669461489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI L RODRIGUEZ Administrator 620-544-2023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: KS 17E546) |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2020-08-22 |