| NPI | 1104151877 |
|---|---|
| Doing Business As | CHISHOLM TRAIL ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | DUSTIN REX COX Owner 580-470-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: OK AL 6903-6903) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2009-10-13 |