| NPI | 1396291365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BART REED Manager 580-399-7920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH1409-1409) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2022-01-20 |