| NPI | 1093836280 |
|---|---|
| Doing Business As | HILLCREST MANOR |
| Entity Type | Organization |
| Authorized Contact | MARK LIETZKE CEO 918-622-4799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2021-08-26 |