NPI 1093816100

Okmulgee Terrace, LLC

Organisation Intellectual Disabilities Intermediate Care Facility Sallisaw, OK

Practice location

Address: 210 East Choctaw Street, Sallisaw, OK 74955-0429
Phone: (918) 775-4439
Fax: (918) 775-9242
Mailing address: PO Box 429, Sallisaw, OK 74955-0429

Authorised official

Name: Kevin Douglas Moran
Title: Business Management
Phone: (918) 775-4439

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence NH5607-5607 (OK)

Other Intermediate Care Facility, Intellectual Disabilities providers in Oklahoma →

Registry record

NPI: 1093816100
Entity type: Organization
NPI issued: 25 Sep 2006
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.