| NPI | 1891911715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT D. PILGRIM Managing Member 918-366-4492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH7203-7203) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH7203-7203) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2021-02-18 |