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Skiatook Nursing Home, Llc

Skiatook Nursing Home, Llc is a health care provider in Skiatook, OK. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 318 S Cherry St, Skiatook, OK 74070-1325, US
Practice Location Phone918-396-2149
Practice Location Fax918-396-4256
Legal Business NameSKIATOOK NURSING HOME, LLC
NPI ?1336247873
Entity TypeOrganization
Enumeration Date ? Sep 20, 2006
Last Update Date ? Aug 8, 2012
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Skiatook Nursing Home, Llc

SpecialtySpecializationLicenseLicense State
Nursing Facility/Intermediate Care Facility NH5705-5705Oklahoma

legacy-id-icon Legacy Provider IDs of Skiatook Nursing Home, Llc

Provider IdIssuer StateIssuer TypeIssuer
200078980AOklahomaMedicaid

official-icon Authorized Official of Skiatook Nursing Home, Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Skiatook Nursing Home, Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mr. Justin W. Mcgrew
Authorized Official Title/PositionBUSINESS MANAGEMENT
Authorized Official Phone Number918-775-4439