NPI | 1699768309 |
---|---|
Entity Type | Organization |
Authorized Contact | BRETT L LESSLEY President 918-283-4306 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH6601-6601) |
Enumeration Date | 2005-08-26 |
Last Update Date | 2011-11-23 |