# STATE OF OKLAHOMA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** STATE OF OKLAHOMA/ OK DEPT VETERANS
- **Other names:** Oklahoma Department of Veterans Affairs
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1225295710
- **Legal business name:** STATE OF OKLAHOMA/ OK DEPT VETERANS
- **Authorized official:** MS. ERMIE CLINHNA WILLIAMS RN, CLNC, LNHA (COMPLIANCE DIRECTOR)
- **Authorized official phone:** (405) 523-4000

## Contact information

- **Practice address:** 1701 SOUTH 4TH, CLINTON, OK 73601-1209
- **Practice address phone:** (580) 331-2200
- **Practice address fax:** (580) 323-4834
- **Mailing address:** PO BOX 1209, CLINTON, OK 73601-1209
- **Mailing address phone:** (580) 331-2200
- **Mailing address fax:** (580) 323-4834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | WVC2007003 | OK | Yes |

## Other

- **Enumeration date:** 05/21/2008
- **Last updated:** 05/15/2018