| NPI | 1174628721 |
|---|---|
| Doing Business As | GRACE LIVING CENTER - NORTHEAST OKC |
| Doing Business As | KINGWOOD SKILLED NURSING AND THERAPY |
| Doing Business As | KINGWOOD |
| Entity Type | Organization |
| Authorized Contact | MIKE DIMOND Manager 405-943-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH5535-5535) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-03-23 |