NPI 1013016864

Grand Union Healthcare L.L.C,

Organisation Skilled Nursing Facility Jay, OK

Practice location

Address: 226 East Monroe Street, Jay, OK 74346-0409
Phone: (918) 253-4500
Fax: (918) 253-6064
Mailing address: PO Box 409, Jay, OK 74346-0409

Authorised official

Name: Orrise Matheson
Title: Administrator
Phone: (918) 253-4500

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

Other Skilled Nursing Facility providers in Oklahoma →

Registry record

NPI: 1013016864
Entity type: Organization
NPI issued: 21 Sep 2006
Record last updated: 22 Dec 2011

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.