| NPI | 1245348085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA J SOMMERS Office Manager 918-251-5389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |