NPI 1003489998
Marietta Operating Co, LLC
Practice location
- Address
- 301 C E Colston Dr, Marietta, OK 73448-2169
- Phone
- (580) 634-4712
- Fax
- (580) 276-2100
- Mailing address
- 1908 12th Ave NW STE E, Ardmore, OK 73401-1255
Authorised official
- Name
- Tom C. Coble
- Title
- Manager
- Phone
- (580) 220-7093
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1003489998
- Entity type
- Organization
- NPI issued
- 20 Jul 2021
- Record last updated
- 20 Jul 2021
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.