| NPI | 1538386735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY ANNE CAMPBELL Nurse Practitioner 580-319-8890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK R0068940) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-05-21 |