| NPI | 1144307836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY D HARDIN Owner/President 580-725-3533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded (Licence: OK NH5201-5201) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |