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Organization
THUNDER CARE AND REHABILITATION LLC
Active
Organization
THUNDER CARE AND REHABILITATION LLC
Active
Other names
Thunder Care and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
BART REED (MANAGER)
(580) 399-7920
Entity
Organization
Contact information
Practice address
2120 N BROADWAY ST, MOORE, OK 73160-4408
(405) 747-6154
Mailing address
131 N BROADWAY AVE, ADA, OK 74820-5003
(580) 436-0950
(580) 436-0953
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH1402-1402
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200084290C
—
OK
Enumeration date
07/25/2016
Last updated
10/20/2022
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