NPI 1225295710

State of Oklahoma

Organisation Skilled Nursing Facility Clinton, OK

Practice location

Address: 1701 South 4th, Clinton, OK 73601-1209
Phone: (580) 331-2200
Fax: (580) 323-4834
Mailing address: PO Box 1209, Clinton, OK 73601-1209

Authorised official

Name: Ermie Clinhna Williams
Title: Compliance Director
Phone: (405) 523-4000

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence WVC2007003 (OK)

Other Skilled Nursing Facility providers in Oklahoma →

Registry record

NPI: 1225295710
Entity type: Organization
NPI issued: 21 May 2008
Record last updated: 15 May 2018

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.