NPI | 1568554657 |
---|---|
Doing Business As | BROOKHAVEN EXTENSIVE CARE |
Entity Type | Organization |
Authorized Contact | DIRK P O'HARA Managing Member 405-292-2273 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH14051405) |
Enumeration Date | 2006-09-28 |
Last Update Date | 2007-11-08 |