# C.H.R.E L.L.C.

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

## Provider details

- **NPI number:** 1073709176
- **Authorized official:** MS. NORMA SUE COX (ADMINISTRATOR)
- **Authorized official phone:** (918) 619-2204

## Contact information

- **Practice address:** 30049 E. 151ST ST. SOUTH, COWETA, OK 74429
- **Practice address phone:** (918) 486-2166
- **Practice address fax:** (918) 486-2166
- **Mailing address:** P.O. BOX 490, 30049 E. 151ST ST. SOUTH, COWETA, OK 74429
- **Mailing address phone:** (918) 486-2166
- **Mailing address fax:** (918) 486-6308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH7301 | OK | — |
| 314000000X | Skilled Nursing Facility | — | OK | Yes |

## Other

- **Enumeration date:** 09/21/2007
- **Last updated:** 04/14/2016