| NPI | 1902049638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN J GRACE CEO 913-333-2843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2024-06-17 |