| NPI | 1609394519 |
|---|---|
| Doing Business As | BEACON RIDGE NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | BILL BUSH CFO 405-285-8166 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH1902) |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2017-08-31 |