NPI 1003659855

Nowata Ltc LLC

Organisation Skilled Nursing Facility Nowata, OK

Practice location

Address: 436 S Joe St, Nowata, OK 74048-3233
Phone: (918) 775-4439
Fax: (918) 775-9242
Mailing address: 210 E Choctaw Ave, Sallisaw, OK 74955-4604

Authorised official

Name: Gregory Lance Guymon
Title: Consultant
Phone: (405) 312-8050

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

Other Skilled Nursing Facility providers in Oklahoma →

Registry record

NPI: 1003659855
Entity type: Organization
NPI issued: 18 Jun 2024
Record last updated: 18 Jun 2024

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.