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Organization
PARKER PLACE HOME 2, LLC.
Active
Organization
PARKER PLACE HOME 2, LLC.
Active
Parent organization
PARKER PLACE LIVING CENTERS, LLC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PARKER PLACE LIVING CENTERS, LLC.
Authorized official
MRS. SALLY HEATHER CLEMENT LNHA (OWNER/ADMINISTRATOR)
(940) 337-6777
Entity
Organization
Contact information
Practice address
7514 NW SUN BLVD., LAWTON, OK 73505
(940) 337-6777
Mailing address
7510 NW SUN BLVD., LAWTON, OK 73505
(940) 337-6777
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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