| NPI | 1710062179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE WILLIAMS Administrator 580-938-2501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH2301-2301) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2015-08-27 |