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Organization
CORN THE MENNONITE BRETHREN CHURCH OF CORN OK
Active
Organization
CORN THE MENNONITE BRETHREN CHURCH OF CORN OK
Active
Other names
Corn Heritage Village
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN HALL (EXECUTIVE DIRECTOR)
(580) 343-2295
Entity
Organization
Contact information
Practice address
106 W ADAMS STREET, CORN, OK 73024
(580) 343-2295
(580) 343-2297
Mailing address
PO BOX 98, CORN, OK 73024-0098
(580) 343-2295
(580) 343-2297
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH7502
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100771430A
—
OK
Enumeration date
04/10/2006
Last updated
04/05/2010
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