| NPI | 1275679581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL J FLORENCE Administrator 405-677-2421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH5547) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |