| NPI | 1306243019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI LYNN- HARRIS DAVIS Cota/L 405-517-8198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: OK 597) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: OK 597) |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2014-11-24 |