| NPI | 1235154022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY-LYN BALDAUF CEO/Administrator 405-720-5931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: OK R0039096) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2014-03-24 |