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Organization
MARIETTA OPERATING CO, LLC
Active
Organization
MARIETTA OPERATING CO, LLC
Active
Other names
Lake Country Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
TOM C. COBLE (MANAGER)
(580) 220-7093
Entity
Organization
Contact information
Practice address
301 C E COLSTON DR, MARIETTA, OK 73448-2169
(580) 634-4712
(580) 276-2100
Mailing address
1908 12TH AVE NW STE E, ARDMORE, OK 73401-1255
(580) 226-3055
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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