| NPI | 1013916311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM C COBLE Owner 580-226-3055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH1006-1006) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2016-03-07 |