NPI 1023430741

Tidwell Healthcare, LLC

Organisation Nursing Facility/Intermediate Care Facility Wilburton, OK

Practice location

Address: 900 Ranchwood Dr, Wilburton, OK 74578-3630
Phone: (918) 465-5020
Fax: (918) 465-5007

Authorised official

Name: Melissa C Tidwell
Title: Owner
Phone: (918) 465-5020

Registered specialties

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence NH3903-3903 (OK)

Other Nursing Facility/Intermediate Care Facility providers in Oklahoma →

Registry record

NPI: 1023430741
Entity type: Organization
NPI issued: 15 Jan 2014
Record last updated: 31 Dec 2015

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.