| NPI | 1154783074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E GATES Managing Member 918-949-5544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| 314000000X Skilled Nursing Facility | |
| 315D00000X Hospice, Inpatient | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2024-06-21 |