| NPI | 1316030414 |
|---|---|
| Doing Business As | COUNTRY CLUB CARE |
| Entity Type | Organization |
| Authorized Contact | JOE LYNN GREGSTON Administrator 580-255-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH69046904) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2009-08-20 |