| NPI | 1497760268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY FULLBRIGHT Administrator 918-773-5258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH68046804) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |