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Organization
COLONIAL PARK HEALTHCARE CENTER LLC
Active
Organization
COLONIAL PARK HEALTHCARE CENTER LLC
Active
Other names
COLONIAL PARK HEALTHCARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BART TAYLOR REED (MANAGER)
(580) 436-0950
Entity
Organization
Contact information
Practice address
600 W FRONTAGE RD, OKEMAH, OK 74859-6433
(918) 623-1936
(918) 623-2287
Mailing address
131 N BROADWAY AVE, ADA, OK 74820-5003
(580) 436-0950
(580) 436-0953
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
NH5405-5405
OK
314000000X
Skilled Nursing Facility
Primary
NH5405-5405
OK
Other
Enumeration date
01/28/2011
Last updated
01/28/2011
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