| NPI | 1770614562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALARIE LEE MCNEELY Physical Therapy Assistant 913-825-1931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282E00000X (Licence: KS 14-01377) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: KS 14-01377) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |