| NPI | 1528075546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK JUSTICE Owner 405-238-5528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH25012501) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2007-07-16 |