| NPI | 1669715926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY BRIGGS Office Manager 620-357-8361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: KS H042101) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2013-04-04 |