| NPI | 1972685816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANDICE ALLEN CEO 580-430-3309 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH7602-7602) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-02-20 |