| NPI | 1629328786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERIF SAYED ISMAIL Owner 580-510-7077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK 22720) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2012-09-17 |