NPI | 1023142981 |
---|---|
Doing Business As | FORT GIBSON NURSING HOME |
Entity Type | Organization |
Authorized Contact | KATHY JANE CARTER Administrator 918-478-2456 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH5103-5103) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2020-08-22 |