| NPI | 1124129176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN DOUGLAS MORAN Business Management 918-775-4439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH5301-5301) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |