| NPI | 1508070830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA J KELLEY Administrator 918-256-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK RC1806-1806) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |