| NPI | 1821093352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL HANKINS Administrator 580-536-1279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH 16071607) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH1607-1607) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2020-08-22 |