# LIGHTNING CREEK INVESTMENT GROUP INC

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

## Provider details

- **NPI number:** 1104841071
- **Authorized official:** DOUG MADDUX (PRESIDENT)
- **Authorized official phone:** (580) 994-5570

## Contact information

- **Practice address:** 1100 MEMORIAL DR, CHEROKEE, OK 73728-3832
- **Practice address phone:** (580) 596-2141
- **Mailing address:** PO BOX 468, NOWATA, OK 74048
- **Mailing address phone:** (918) 273-3649

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0201-0201 | OK | Yes |

## Other

- **Enumeration date:** 07/13/2006
- **Last updated:** 01/03/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100772060A | — | OK |
| 05 | — | 10077206D | — | OK |