| NPI | 1316059645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM LEATHERMAN Administrator 580-824-5661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH7603-7603) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-01-31 |