Brentwood Extended Care & Rehab. LLC
Skilled Nursing Facility in Muskogee, OK. Organization (NPI-2).
NPI number1720161813
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1720161813
- Entity type
- Organization (NPI-2)
- Legal business name
- Brentwood Extended Care & Rehab. LLC
- Organization subpart
- No
- Enumeration date
- Oct 23, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | OK | Yes |
Practice location
841 N 38th StMuskogee, OK 74401-2056
Phone 918-683-8070 · Fax 918-683-8234
Mailing address
1929 Betty Jane LnMuskogee, OK 74403-1581
Phone 918-683-9407 · Fax 918-683-1979
Authorized official
Bobbie Montgomery
Owner
9186839407
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