| NPI | 1851502769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANDIE HASTINGS Sole Member 405-282-6285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH4203) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2012-04-19 |