# STATE OF OKLAHOMA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** STATE OF OKLAHOMA DEPT OF VETERANS
- **Other names:** Oklahoma Department of Veterans Affairs
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1154589430
- **Legal business name:** STATE OF OKLAHOMA DEPT OF VETERANS
- **Authorized official:** MS. ERMIE C WILLIAMS R.N. (COMPLIANCE DIRECTOR)
- **Authorized official phone:** (405) 523-4007

## Contact information

- **Practice address:** 10014 SE 1138TH STREET, TALIHINA, OK 74571-6028
- **Practice address phone:** (918) 567-2251
- **Practice address fax:** (918) 567-2251
- **Mailing address:** 10014 SE 1138TH STREET, TALIHINA, OK 74571-6028
- **Mailing address phone:** (918) 567-2251
- **Mailing address fax:** (918) 567-2251

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | WVC2007006 | OK | Yes |

## Other

- **Enumeration date:** 05/23/2008
- **Last updated:** 06/29/2018