| NPI | 1477245421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAKETA SHARELL NJIFUNUH CEO 405-506-0571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2023-05-25 |