# HEARTSWORTH SENIOR LIVING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heartsworth Center for Nursing and Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245571165
- **Authorized official:** LEE PILGRIM (MEMBER)
- **Authorized official phone:** (405) 285-8166

## Contact information

- **Practice address:** 1200 W CANADIAN AVE, VINITA, OK 74301-2702
- **Practice address phone:** (918) 256-8768
- **Mailing address:** PO BOX 990, EDMOND, OK 73083-0990
- **Mailing address phone:** (405) 285-8166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH1802--1802 | OK | Yes |

## Other

- **Enumeration date:** 03/04/2013
- **Last updated:** 03/04/2013