NPI | 1992792386 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY A PECINA Administrator 816-756-1593 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 031741) |
Enumeration Date | 2005-09-30 |
Last Update Date | 2020-08-22 |