| NPI | 1306250675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOELLA ESCOE Occupational Therapy 918-851-0737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: OK 280) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK 280) |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: OK oa280) | |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2014-06-16 |