| NPI | 1699106922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAYDEN MIKEL DANIELLE SEIFERT Physical Therapist Assistant 620-778-5630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KS 14-02401) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |