| NPI | 1679560932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLE B DOTY Administrator 620-356-3331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: KS N034001) |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2012-10-10 |