| 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 |