# PSG TEMPLE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Temple Manor Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053317107
- **Authorized official:** MRS. LUCRETIA LEE PARKEY (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (580) 342-6228

## Contact information

- **Practice address:** 100 GREEN AVE, TEMPLE, OK 73568
- **Practice address phone:** (580) 342-6228
- **Practice address fax:** (580) 342-5015
- **Mailing address:** 100 GREEN AVENUE, TEMPLE, OK 73568
- **Mailing address phone:** (580) 342-6228
- **Mailing address fax:** (580) 342-5015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH1702 | OK | Yes |

## Other

- **Enumeration date:** 06/23/2005
- **Last updated:** 05/30/2013