| NPI | 1114922598 |
|---|---|
| Doing Business As | EPWORTH VILLA |
| Entity Type | Organization |
| Authorized Contact | KENNETH LEE BULLOCK CFO 405-749-3516 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK CC5504) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: OK cc5504) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2019-07-08 |