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Organization
STILLWATER NURSING CENTER LLC
Active
Organization
STILLWATER NURSING CENTER LLC
Active
Other names
GRACE LIVING CENTER - STILLWATER, Stillwater Creek Skilled Nursing and Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY DEROIN (DIRECTOR OF RCM)
(405) 943-1144
Entity
Organization
Contact information
Practice address
1215 W 10TH AVE, STILLWATER, OK 74074-5420
(405) 372-1000
(405) 377-7051
Mailing address
1215 W 10TH AVE, STILLWATER, OK 74074-5420
(405) 372-1000
(405) 377-7051
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH6004-6004
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100810490B
—
OK
Enumeration date
09/14/2006
Last updated
02/05/2026
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