| NPI | 1295798494 |
|---|---|
| Other Name | CORN HERITAGE VILLAGE |
| Entity Type | Organization |
| Authorized Contact | MARTIN HALL Executive Director 580-343-2295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH7502) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2010-04-05 |