| NPI | 1407942766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN DOUGLAS MORAN Business Management 918-775-4439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care (Licence: OK 7566) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |