| NPI | 1023430741 |
|---|---|
| Doing Business As | TIDWELL LIVING CENTER |
| Entity Type | Organization |
| Authorized Contact | MELISSA C TIDWELL Owner 918-465-5020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH3903-3903) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2015-12-31 |