Walnut Grove Living Center
Skilled Nursing Facility in McAlester, OK. Organization (NPI-2).
NPI number1790747798
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1790747798
- Entity type
- Organization (NPI-2)
- Legal business name
- Walnut Grove Living Center
- Organization subpart
- No
- Enumeration date
- Apr 5, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | OK | Yes |
Practice location
1001 S George Nigh ExpwyMcAlester, OK 74502
Phone 918-423-7373 · Fax 918-423-7156
Mailing address
Po Box 33031001 S George Nigh Expwy
McAlester, OK 74502
Phone 918-423-7373 · Fax 918-423-7156
Authorized official
Peggy Waynetta Bennett
Administrator
9184237373
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