| NPI | 1366465247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT D PILGRIM Managing Member 405-285-8166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded (Licence: OK NH5616) |
| Additional Taxonomies | 315P00000X Intermediate Care Facility, Mentally Retarded (Licence: OK NH5601) |
| 315P00000X Intermediate Care Facility, Mentally Retarded (Licence: OK NH5615) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-08-22 |