# N& R OF PONCA CITY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ponca City Nursing and Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003815796
- **Authorized official:** MR. JAY H TRUMBO (CFO)
- **Authorized official phone:** (502) 254-9525

## Contact information

- **Practice address:** 1400 N WAVERLY ST, PONCA CITY, OK 74601-2134
- **Practice address phone:** (580) 762-6668
- **Practice address fax:** (580) 762-2669
- **Mailing address:** 329 TOWNEPARK CIR, SUITE 100, LOUISVILLE, KY 40243-2348
- **Mailing address phone:** (502) 254-9525
- **Mailing address fax:** (502) 254-9919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH3606-3606 | OK | Yes |

## Other

- **Enumeration date:** 07/15/2005
- **Last updated:** 08/27/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100849730A | — | OK |