| NPI | 1740588672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA I NEAL Executive Director 918-298-3652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK 7231) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: OK AL7214) |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2016-02-09 |