# BAN NH, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1194022681
- **Authorized official:** CHRIS BROGDON (MANAGER)
- **Authorized official phone:** (770) 650-8793

## Contact information

- **Practice address:** 1400 S MAIN ST, GROVE, OK 74344-5310
- **Practice address phone:** (918) 786-2275
- **Practice address fax:** (918) 786-9389
- **Mailing address:** 1400 S MAIN ST, GROVE, OK 74344-5310
- **Mailing address phone:** (918) 786-2275
- **Mailing address fax:** (918) 786-9389

## Taxonomy

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

## Other

- **Enumeration date:** 02/17/2011
- **Last updated:** 01/19/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200053270A | — | OK |