| NPI | 1376851402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM EDWARD DAVES Managing Member 580-286-2537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH7203-7203) |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2010-09-23 |