| NPI | 1871036616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARNEY KENT ABBOTT Member 405-445-0074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH4602-4602) |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2021-06-15 |