| NPI | 1043024391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVONNDA JEAN FIELDS CEO 405-627-8552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2025-02-06 |
| Last Update Date | 2025-02-06 |