| NPI | 1780977462 |
|---|---|
| Former Legal Business Name | INDIAN NATIONS HEALTHCARE LLC DBA BROKEN BOW NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | GIELA RAYE WILLIAMS Administrator 580-584-6433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH4501) |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2011-06-03 |