| NPI | 1083663512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LOUISE FLETCHER Administrator 918-682-3191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH5113-5113) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: OK NH5113-5113) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2020-08-22 |