| NPI | 1497748180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY J BOWLES Administrator 580-369-2369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK nh5002-5002) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2020-08-22 |