| NPI | 1699121020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTI LYNN BIRGE Owner/ Administrator 918-286-8686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: OK RC72767276) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |