| NPI | 1134250731 |
|---|---|
| Doing Business As | GREEN ACRES RESIDENTIAL CARE HOME |
| Entity Type | Organization |
| Authorized Contact | HELEN FARRIS Administrator 918-456-0704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness (Licence: OK RC-1101-1101) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2008-07-29 |