| NPI | 1497760250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA BEAVERS Administrator 405-399-2294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH55255525) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |