| NPI | 1588179600 |
|---|---|
| Doing Business As | MATTOX HALL |
| Entity Type | Organization |
| Authorized Contact | MELISSA FRUITS Administrator 580-725-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: OK nh2403-2403) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2021-10-25 |