NPI | 1881775070 |
---|---|
Doing Business As | COWETA MANOR NURSING HOME |
Entity Type | Organization |
Authorized Contact | STACEY SHANKLE Administrator 918-486-2166 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH7301-7301) |
Enumeration Date | 2006-10-17 |
Last Update Date | 2020-08-22 |