| NPI | 1689768749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM M OWEN Administrator 580-924-0496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH0705-0705) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |