Whalio Doctors

NPI 1922137314

Cbw INC

Organisation Mental Illness Intermediate Care Facility Konawa, OK

Practice location

Address
308 W 4th St, Konawa, OK 74849-1612
Phone
(580) 925-3618
Mailing address
PO Box 339, Konawa, OK 74849-0339

Authorised official

Name
Mary Rose Webb
Title
President
Phone
(405) 527-5473

Registered specialties

Mental Illness Intermediate Care Facility Primary
Nursing & Custodial Care Facilities Taxonomy 310500000X Licence RO67-RO67 (OK)

Registry record

NPI
1922137314
Entity type
Organization
NPI issued
3 Mar 2007
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.