NPI | 1679699425 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERRI GEANETTE HILBURN Owner 580-654-1439 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH0801-0801) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2020-08-22 |