| NPI | 1225170467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ED RUCKER Administrator 918-743-7838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH7208-7208) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2011-05-18 |