# BETTY ANN NURSING CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033218326
- **Authorized official:** MICHELINE NADER (OWNER)
- **Authorized official phone:** (918) 786-2275

## Contact information

- **Practice address:** 1400 S MAIN ST, GROVE, OK 74344-5310
- **Practice address phone:** (918) 786-2275
- **Mailing address:** 1400 S MAIN ST, GROVE, OK 74344-5310
- **Mailing address phone:** (918) 786-2275

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH 2101-2101 | OK | Yes |

## Other

- **Enumeration date:** 09/22/2006
- **Last updated:** 09/16/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200053270A | — | OK |