NPI | 1801913371 |
---|---|
Entity Type | Organization |
Authorized Contact | JOANNA MAE COOPER Owner Operator 918-251-5343 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK 7205) |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK 7205) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2016-03-11 |