# BEADLES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Beadles Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205948338
- **Authorized official:** MRS. MARY RUTH HIETT LPN OK \#L0010078 (CO-OWNER)
- **Authorized official phone:** (580) 327-5309

## Contact information

- **Practice address:** 916 NOBLE ST, ALVA, OK 73717-2852
- **Practice address phone:** (580) 327-1274
- **Practice address fax:** (580) 327-2937
- **Mailing address:** PO BOX 728, ALVA, OK 73717-0728
- **Mailing address phone:** (580) 327-1274
- **Mailing address fax:** (580) 327-2937

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH7601-7601 | OK | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100773610A | — | OK |