| NPI | 1538166038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI K. BORDEN Administrator 405-656-2302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH0806-0806) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2020-08-22 |