| NPI | 1194716910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROD WEAVER Director Of Accounting 918-491-5222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK CC7204-7204) |
| Enumeration Date | 2005-11-01 |
| Last Update Date | 2020-08-22 |