| NPI | 1588640833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ROLL Administrator 918-335-3222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH74057405) |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2020-08-22 |