| NPI | 1700821493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB WILL Vice President Of Health Services 918-346-6625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH7218-7218) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: OK AL7226-7226) |
| 311500000X Alzheimer Center (Dementia Center) (Licence: OK NH7218-7218) | |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH7218-7218) | |
| 314000000X Skilled Nursing Facility (Licence: OK NH72187218) | |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2021-11-02 |