| NPI | 1427619428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE R SMITH Rcm 918-576-3070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2024-05-16 |