| NPI | 1396055190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVA J PARISH Cpa 918-776-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK Applied For) |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2010-10-14 |