| NPI | 1881721637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS HENSLEY Administrator 918-436-2228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: OK 100777480A) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2012-01-23 |