| NPI | 1376993071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA RENEE SIMMONS Managing Member 405-380-6671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH5602) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |