| NPI | 1174522213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM C COBLE Owner 580-226-3055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK nh1008-1008) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2016-01-20 |