| NPI | 1497494256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVIA M BOCK Owner 918-984-5355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2022-05-31 |