NPI | 1053641530 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERRY SNIDER Administrator 580-332-7007 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: OK RC6201-6201) |
Enumeration Date | 2010-01-06 |
Last Update Date | 2010-01-06 |