| NPI | 1285683318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY W YOUNG Member/Manager 918-622-4799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH61026102) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2021-08-26 |