| NPI | 1366478786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF GREGSTON Administrator 580-658-2319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH69036903) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH69036903) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2015-02-17 |