| NPI | 1952390163 |
|---|---|
| Doing Business As | BLACKWELL NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | JEFFREY W YOUNG Member/Manager 918-622-4799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH36013601) |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2020-08-22 |