| NPI | 1629297031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIONE SMITH Administrator 580-362-3277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH3605-3605) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |