| NPI | 1124026448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MICHELLE CLASON Adm. 918-652-7021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK 375462) |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: OK NH56035603) |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH56035603) | |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2013-06-20 |