| NPI | 1881195782 |
|---|---|
| Doing Business As | THE LODGE AT BROOKLINE |
| Entity Type | Organization |
| Authorized Contact | SCOTT PILGRIM Member 405-285-8166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH5513) |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2020-05-29 |