NPI 1023142981

Fort Gibson Management LLC

Organisation Skilled Nursing Facility Fort Gibson, OK

Practice location

Address: 205 E Poplar, Fort Gibson, OK 74431
Phone: (918) 478-2456
Fax: (918) 478-3258
Mailing address: PO Box 190, Fort Gibson, OK 74434-0190

Authorised official

Name: Kathy Jane Carter
Title: Administrator
Phone: (918) 478-2456

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence NH5103-5103 (OK)

Other Skilled Nursing Facility providers in Oklahoma →

Registry record

NPI: 1023142981
Entity type: Organization
NPI issued: 15 Mar 2007
Record last updated: 22 Aug 2020

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.