| NPI | 1053300269 |
|---|---|
| Doing Business As | HILLCREST MANOR |
| Entity Type | Organization |
| Authorized Contact | MARK A LIETZKE CEO Isp 918-622-4799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH36043604) |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2021-08-26 |