| NPI | 1316952153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY J GREEN Adm 580-569-2258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH38013801) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2011-07-25 |