| NPI | 1932648250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATRICE RENEE MARZETT Owner 405-313-7374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-10-06 |