| NPI | 1023346574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDNA LEE KEATON Rc/Al Administor 918-521-0765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: OK RC1806-1806) |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2015-12-08 |