Whalio Doctors

NPI 1013916311

Southbrook Healthcare, INC.

Organisation Skilled Nursing Facility Ardmore, OK

Practice location

Address
832 Isabel St, Ardmore, OK 73401-5118
Phone
(580) 223-5901
Fax
(580) 226-0841

Authorised official

Name
Tom C Coble
Title
Owner
Phone
(580) 226-3055

Registered specialties

Skilled Nursing Facility Primary
Nursing & Custodial Care Facilities Taxonomy 314000000X Licence NH1006-1006 (OK)

Registry record

NPI
1013916311
Entity type
Organization
NPI issued
19 Jul 2005
Record last updated
7 Mar 2016

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.