| NPI | 1124574876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE JEAN HURD Occupational Therapist 479-530-2979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK 1892) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |