| NPI | 1578605481 |
|---|---|
| Doing Business As | WILDWOOD CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | ED RUCKER Member 918-743-7838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH7209-7209) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2011-05-31 |