| NPI | 1982699062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLA J UTT Administrator 620-221-9290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KS 1042141001) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2012-02-20 |