# SOUTHERN HOSPITALITY HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346576311
- **Authorized official:** MRS. MARY D MURRY (OWNER OPERATOR)
- **Authorized official phone:** (913) 839-2827

## Contact information

- **Practice address:** 20687 W 125TH CT, OLATHE, KS 66061-7822
- **Practice address phone:** (913) 839-2827
- **Practice address fax:** (913) 839-2827
- **Mailing address:** 20687 W 125TH CT, OLATHE, KS 66061-7822
- **Mailing address phone:** (913) 839-2827
- **Mailing address fax:** (913) 839-2827

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | B046041 | KS | Yes |

## Other

- **Enumeration date:** 10/27/2009
- **Last updated:** 10/27/2009