Summit Healthcare Receivership LLC
Skilled Nursing Facility in Okeene, OK. Organization (NPI-2).
NPI number1114220191
StatusActive
Last updated in NPPESAug 11, 2011
Details
- NPI
- 1114220191
- Entity type
- Organization (NPI-2)
- Legal business name
- Summit Healthcare Receivership LLC
- Organization subpart
- No
- Enumeration date
- Dec 13, 2010
- Last updated
- Aug 11, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | NH0601 | OK | Yes |
Practice location
119 N. 6thOkeene, OK 73763
Phone 580-822-4441 · Fax 580-822-4431
Mailing address
Po Box 1218Nicoma Park, OK 73066-1218
Phone 405-769-7990 · Fax 405-769-7970
Authorized official
Randy Goodman
Receiver
4057697990
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