NPI 1821093352

Psg - Willow Park LLC

Organisation Nursing Facility/Intermediate Care Facility Lawton, OK

Practice location

Address: 7019 NW Cache Rd, Lawton, OK 73505-2707
Phone: (580) 536-1279
Fax: (580) 510-0017

Authorised official

Name: Cheryl Hankins
Title: Administrator
Phone: (580) 536-1279

Registered specialties (2)

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence NH1607-1607 (OK)

Other Nursing Facility/Intermediate Care Facility providers in Oklahoma →

Skilled Nursing Facility

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence NH 16071607 (OK)

Other Skilled Nursing Facility providers in Oklahoma →

Registry record

NPI: 1821093352
Entity type: Organization
NPI issued: 21 Jun 2005
Record last updated: 11 Sep 2025

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.