| NPI | 1396841094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA LEA CARTER Administrator 918-422-5139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH21052105) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-08-22 |