| NPI | 1962583765 |
|---|---|
| Doing Business As | GRAN VILLAS HIAWATHA |
| Entity Type | Organization |
| Authorized Contact | CATHY W FISHER Chief Financial Officer 620-251-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: KS N007006) |
| Additional Taxonomies | 251E00000X Home Health (Licence: KS N007006) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: KS N007006) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2008-06-23 |