| NPI | 1184810632 |
|---|---|
| Doing Business As | SHAWN MANOR NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | GARY SMART Administrator/Member 580-765-3364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH3607) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2008-06-23 |