| NPI | 1134223225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN SLYCONISH President 918-652-8797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH56025602) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2020-08-22 |