| NPI | 1588704860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIVA JO MITCHELL Administrator 918-423-4661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH6104-6104) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2014-07-15 |