| NPI | 1912129792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J. MCTAVISH CEO And Administrator 816-523-3988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 033540) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |