| NPI | 1184059982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA MERE Associate 325-691-5591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK 375553) |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: OK NH6609) |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2022-07-21 |