# HOUSE OF GRACE NURSING FACILITY, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215749254
- **Authorized official:** RINDI CITTY (MANAGER)
- **Authorized official phone:** (479) 228-8548

## Contact information

- **Practice address:** 402 SE 6TH ST, MOORELAND, OK 73852-9064
- **Practice address phone:** (479) 228-8548
- **Mailing address:** 402 SE 6TH ST, MOORELAND, OK 73852-9064
- **Mailing address phone:** (479) 228-8548

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/27/2025
- **Last updated:** 01/27/2025