NPI | 1689745291 |
---|---|
Entity Type | Organization |
Authorized Contact | TARRI ALDRIDGE Board Member 580-355-1616 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH1602-1602) |
Enumeration Date | 2006-11-13 |
Last Update Date | 2010-07-09 |