| NPI | 1073709176 |
|---|---|
| Doing Business As | COWETA MANOR NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | NORMA SUE COX Administrator 918-619-2204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: OK NH7301) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2016-04-14 |