| NPI | 1841667565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN WOOLERY Member 785-217-5999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MO 043436) |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |