| NPI | 1235348442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERMAN F HACKETT Owner 580-233-0121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: OK DC2404-2404) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |