# MADILL OPERATING CO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brookside Nursing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114590098
- **Authorized official:** TOM C. COBLE (MANAGER)
- **Authorized official phone:** (580) 220-7093

## Contact information

- **Practice address:** 310 BROOKSIDE DR, MADILL, OK 73446-3638
- **Practice address phone:** (580) 795-2100
- **Practice address fax:** (580) 677-9918
- **Mailing address:** 1908 12TH AVE NW STE E, ARDMORE, OK 73401-1255
- **Mailing address phone:** (580) 226-3055

## Taxonomy

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

## Other

- **Enumeration date:** 07/20/2021
- **Last updated:** 07/20/2021