# CHECOTAH NURSING CENTER LLC

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

## Provider details

- **NPI number:** 1154552255
- **Authorized official:** JUSTIN PRICE (MEMBER)
- **Authorized official phone:** (918) 967-9285

## Contact information

- **Practice address:** 321 SE 2ND ST, CHECOTAH, OK 74426-4005
- **Practice address phone:** (918) 473-2251
- **Practice address fax:** (918) 473-6774
- **Mailing address:** PO BOX 726, STIGLER, OK 74462-0726
- **Mailing address phone:** (918) 473-2251
- **Mailing address fax:** (918) 473-6774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH4602-4602 | OK | Yes |

## Other

- **Enumeration date:** 08/06/2009
- **Last updated:** 11/02/2009