| NPI | 1790774495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S. MORTON President 479-783-4672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH4603-4603) |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2020-04-20 |