NPI 1053617761
Colonial Park Healthcare Center LLC
Practice location
- Address
- 600 W Frontage Rd, Okemah, OK 74859-6433
- Phone
- (918) 623-1936
- Fax
- (918) 623-2287
- Mailing address
- 131 N Broadway Ave, Ada, OK 74820-5003
Authorised official
- Name
- Bart Taylor Reed
- Title
- Manager
- Phone
- (580) 436-0950
Registered specialties (2)
Skilled Nursing Facility
Primary
Nursing Facility/Intermediate Care Facility
Registry record
- NPI
- 1053617761
- Entity type
- Organization
- NPI issued
- 28 Jan 2011
- Record last updated
- 28 Jan 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.