NPI | 1659317527 |
---|---|
Doing Business As | HERITAGE PARK |
Entity Type | Organization |
Authorized Contact | JUDY M CRANE President 405-942-3884 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH5509-5509) |
Enumeration Date | 2006-06-21 |
Last Update Date | 2020-08-22 |