| NPI | 1275532616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM COBLE Owner 580-226-3055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH10031003) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2016-03-03 |