| NPI | 1568855278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY R BALLARD Owner 405-812-3966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: OK AL5540-5540) |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2015-03-05 |