| NPI | 1164527727 |
|---|---|
| Former Legal Business Name | SOONER GERIATRICS, LLC |
| Doing Business As | WILDEWOOD SKILLED NURSING AND THERAPY |
| Doing Business As | GRACE LIVING CENTER - WILDEWOOD |
| Entity Type | Organization |
| Authorized Contact | KRISTY DEROIN Director Of Reimbursement 405-943-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH5501-5501) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-08-05 |