| NPI | 1699762559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA SANDS Business Office Manager 620-227-8551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KS N029001) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care (Licence: KS N029001) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2012-08-20 |