| NPI | 1811038250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA YVONNE MCKAIG Office Manager 620-455-2214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KS NO96005) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2013-07-18 |