NPI 1003815796

N& R of Ponca City LLC

Organisation Skilled Nursing Facility Ponca City, OK

Practice location

Address: 1400 N Waverly St, Ponca City, OK 74601-2134
Phone: (580) 762-6668
Fax: (580) 762-2669
Mailing address: 329 Townepark Cir Suite 100, Louisville, KY 40243-2348

Authorised official

Name: Jay H Trumbo
Title: Cfo
Phone: (502) 254-9525

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence NH3606-3606 (OK)

Other Skilled Nursing Facility providers in Oklahoma →

Registry record

NPI: 1003815796
Entity type: Organization
NPI issued: 15 Jul 2005
Record last updated: 27 Aug 2025

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.