NPI | 1437320876 |
---|---|
Entity Type | Organization |
Authorized Contact | CASEY L. DAVES Authorized Official 918-994-4300 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK 5002) |
Enumeration Date | 2008-03-13 |
Last Update Date | 2017-09-12 |