| NPI | 1881912285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACEY ELIZABETH BOZARTH Certified Physical Therapist Asst. 785-817-0062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KS 14-01920) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: KS 14-01920) |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2010-05-10 |