# BROOKWOOD NURSING CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GRACE LIVING CENTER - BROOKWOOD, Brookwood Skilled Nursing and Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295830933
- **Authorized official:** MIKE DIMOND (MANAGER)
- **Authorized official phone:** (405) 943-1144

## Contact information

- **Practice address:** 940 SW 84TH ST, OKLAHOMA CITY, OK 73139-9255
- **Practice address phone:** (405) 636-0626
- **Practice address fax:** (405) 634-7738
- **Mailing address:** 940 SW 84TH ST, OKLAHOMA CITY, OK 73139-9255
- **Mailing address phone:** (405) 636-0626
- **Mailing address fax:** (405) 634-7738

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH5554-5554 | OK | Yes |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 10/14/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100776930A | — | OK |