| NPI | 1144227950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDMUND STITES Owner 918-775-9161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH3102-3102) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2009-10-16 |