| NPI | 1326059676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA GAIL WILCOX Administrator 580-832-3371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH7501-7501) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2021-01-21 |