NPI 1104151877

Chisholm Trail Retirement Community

Organisation Assisted Living Facility Duncan, OK

Practice location

Address: 625 Chisholm Trail Pkwy, Duncan, OK 73533-2205
Phone: (580) 470-8600

Authorised official

Name: Dustin Rex Cox
Title: Owner
Phone: (580) 470-8600

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence AL 6903-6903 (OK)

Other Assisted Living Facility providers in Oklahoma →

Registry record

NPI: 1104151877
Entity type: Organization
NPI issued: 13 Oct 2009
Record last updated: 13 Oct 2009

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.