| NPI | 1821063249 |
|---|---|
| Doing Business As | EASTRIDGE |
| Entity Type | Organization |
| Authorized Contact | TODD M WILLERT CEO 785-889-5002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KS N066006) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care (Licence: KS N066006) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2020-06-02 |