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Organization
BEADLES, INC.
Active
Organization
BEADLES, INC.
Active
Other names
Beadles Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY RUTH HIETT LPN OK #L0010078 (CO-OWNER)
(580) 327-5309
Entity
Organization
Contact information
Practice address
916 NOBLE ST, ALVA, OK 73717-2852
(580) 327-1274
(580) 327-2937
Mailing address
PO BOX 728, ALVA, OK 73717-0728
(580) 327-1274
(580) 327-2937
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH7601-7601
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100773610A
—
OK
Enumeration date
08/31/2006
Last updated
08/22/2020
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