| NPI | 1962405118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENE BISHOP Administrator/Owner 580-772-3993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK 3700379) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2020-08-22 |