NPI | 1518969781 |
---|---|
Doing Business As | BROKEN BOW NURSING HOME |
Entity Type | Organization |
Authorized Contact | GIELA RAYE WILLIAMS Administrator 580-584-6433 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK 314000000X) |
Enumeration Date | 2005-06-01 |
Last Update Date | 2020-08-22 |