| NPI | 1902901861 |
|---|---|
| Doing Business As | GRACE LIVING CENTER - WILSHIRE |
| Doing Business As | THE WILSHIRE SKILLED NURSING AND THERAPY |
| Entity Type | Organization |
| Authorized Contact | MIKE DIMOND Manager 405-943-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH5541-5541) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2023-09-20 |