| NPI | 1972578037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN W UNRUH Administrator 620-345-6364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: KS N059003) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2015-06-16 |