| NPI | 1336445972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BART REED Manager 580-436-0950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH6705-6705) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH6705-6705) |
| Enumeration Date | 2011-01-30 |
| Last Update Date | 2020-04-07 |