| NPI | 1003039272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA M HEWLING Executive Director 918-341-7588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK DC6601-6601) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |