NPI | 1427068923 |
---|---|
Doing Business As | HEAVENER NURSING HOME |
Entity Type | Organization |
Authorized Contact | ARCHIE DON FARMER Owner 918-653-2464 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH4001-4001) |
Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: OK NH4001-4001) |
Enumeration Date | 2006-08-08 |
Last Update Date | 2020-08-22 |