| NPI | 1033586664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA SIMMONS Managing Member 405-380-6671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH5405-5405) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2025-09-19 |