| NPI | 1457351827 |
|---|---|
| Doing Business As | GRAN GRAN'S PLACE |
| Entity Type | Organization |
| Authorized Contact | NELL LUSTY Admin/Owner 405-350-2311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH0905-0905) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2020-10-21 |