| NPI | 1407240237 |
|---|---|
| Doing Business As | ALBERT HALL |
| Entity Type | Organization |
| Authorized Contact | CONSUELA F LOGAN Administrator 580-725-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: OK NH5204-5204) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-03-18 |