| NPI | 1497841324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN MCGREW Business Management 918-775-4439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH5702-5702) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-08-24 |