| NPI | 1699756403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J STILES Administrator 580-625-4571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH0401-0401) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2014-02-06 |