Whalio Doctors

NPI 1467750976

Colonial Park Nursing Home INC

Organisation Skilled Nursing Facility Okemah, OK

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
John Smart
Title
President
Phone
(405) 380-6902

Registered specialties (2)

Skilled Nursing Facility Primary
Nursing & Custodial Care Facilities Taxonomy 314000000X Licence NH5405-5405 (OK)
Nursing Facility/Intermediate Care Facility
Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence NH5405-5405 (OK)

Registry record

NPI
1467750976
Entity type
Organization
NPI issued
8 Mar 2011
Record last updated
8 Mar 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.