| NPI | 1588663520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM C COBLE Owner 580-226-3055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH5001-5001) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH5001-5001) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2023-07-30 |