| NPI | 1346685542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE KELLEY Owner/ Administrator 918-527-7461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: OK RC-1803) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2013-05-02 |