| NPI | 1811996770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANDIE HASTINGS Member 405-282-6285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH4201) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH4201) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2008-05-13 |