| NPI | 1447358965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN MCGREW Member 918-775-4439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH5303-5303) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2012-05-15 |