| NPI | 1215142591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY BREWER Asst. Administrator 918-256-7291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: OK rc1803-1803) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |