# ATOKA MANOR INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** d/b/a Atoka Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134306335
- **Authorized official:** MS. TRACI DIANN WALKER (CHAIR PERSON)
- **Authorized official phone:** (580) 364-2286

## Contact information

- **Practice address:** 1500 S VIRGINIA AVE, ATOKA, OK 74525-3246
- **Practice address phone:** (580) 889-2500
- **Practice address fax:** (580) 889-2888
- **Mailing address:** 1500 S VIRGINIA AVE, ATOKA, OK 74525-3246
- **Mailing address phone:** (580) 889-2500
- **Mailing address fax:** (580) 889-2888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0302-0302 | OK | Yes |

## Other

- **Enumeration date:** 01/30/2008
- **Last updated:** 03/12/2012