NPI | 1992778278 |
---|---|
Doing Business As | CHECOTAH MANOR |
Entity Type | Organization |
Authorized Contact | DEBORAH K KELSOE Administrator 918-473-5598 |
Organization Subpart ? | No |
Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: OK 313M00000X) |
Enumeration Date | 2006-02-08 |
Last Update Date | 2020-08-22 |