| NPI | 1942480405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN A KENNEDY Office Manager 918-335-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: OK 13606) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: OK 13606) |
| 315D00000X Hospice, Inpatient (Licence: OK 13606) | |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2018-03-17 |