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Organization
ENID SENIOR CARE LLC
Active
Organization
ENID SENIOR CARE LLC
Active
Parent organization
ENID SENIOR CARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ENID SENIOR CARE LLC
Authorized official
MICHELINE NADER (OWNER)
(918) 786-2276
Entity
Organization
Contact information
Practice address
410 N 30TH ST, ENID, OK 73701-3774
(580) 237-1973
Mailing address
410 N 30TH ST, ENID, OK 73701-3774
(580) 237-1973
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH 2410-2410
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200058950A
—
OK
Enumeration date
11/20/2006
Last updated
09/08/2011
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