| NPI | 1780687590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY CAIN Receiver 918-438-2440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH7230-7230) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2020-08-22 |