| NPI | 1801123724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY Y COPP Administrator 918-341-2543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: OK RC6601) |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2009-11-13 |