# CP SNF OPS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heartway at Colonial Park Health and Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003752692
- **Authorized official:** KATHY SUZETTE BAUCOM (REGIONAL DIRECTOR)
- **Authorized official phone:** (479) 312-8280

## Contact information

- **Practice address:** 600 W FRONTAGE RD, OKEMAH, OK 74859-6442
- **Practice address phone:** (918) 623-1936
- **Mailing address:** 1305 SE ADAMS ST, IDABEL, OK 74745-5240
- **Mailing address phone:** (580) 286-1065
- **Mailing address fax:** (580) 286-3926

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 04/27/2026
- **Last updated:** 04/27/2026