| NPI | 1003898784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY THOMPKINS Executive Director 918-388-4706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK CC1902-1902) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2020-08-22 |