NPI | 1760480768 |
---|---|
Doing Business As | LEISURE VILLAGE HEALTH CARE |
Entity Type | Organization |
Authorized Contact | DIANE H. HAMBRIC Vice President 918-523-0222 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH7216-7216) |
Enumeration Date | 2005-07-13 |
Last Update Date | 2011-06-14 |