| NPI | 1851487508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA R SIMMONS Office Manager 405-786-2266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH5549-5549) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |