NPI 1003027921

Perry Green Valley Nursing Home LLC

Organisation Skilled Nursing Facility Perry, OK

Practice location

Address: 1103 Birch St, Perry, OK 73077-6269
Phone: (580) 336-2285
Fax: (580) 336-3445
Mailing address: PO Box 1095, Guthrie, OK 73044-1095

Authorised official

Name: Tandie Hastings
Title: Sole Member
Phone: (405) 282-6285

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence NH5202 (OK)

Other Skilled Nursing Facility providers in Oklahoma →

Registry record

NPI: 1003027921
Entity type: Organization
NPI issued: 24 May 2007
Record last updated: 19 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.