NPI | 1831172154 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANA L. THOMPSON Adminsistrator 620-582-2123 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
Enumeration Date | 2005-11-21 |
Last Update Date | 2011-03-29 |