| NPI | 1013914779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY W. BENNETT Administrator 918-423-7373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH6110-6110) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2012-04-02 |