| NPI | 1457374332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT D PILGRIM Managing Member 405-285-8166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-08-22 |