| NPI | 1912197948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLA KAY DEITER Speech Language Pathologist 620-442-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KS 2434) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-27 |