| NPI | 1851388037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE J. BEAN A.I.T. 620-336-2102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KS N063002) |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2020-08-22 |