NPI | 1417058470 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN DOUGLAS MORAN Business Management 918-775-4439 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH5802-5802) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2008-07-16 |