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 |