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Organization
FCC OF KINGSTON LLC
Active
Organization
FCC OF KINGSTON LLC
Active
Other names
Family Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOE SCEARCE (MANAGING MEMBER)
(405) 905-9133
Entity
Organization
Contact information
Practice address
701 HIGHWAY 32, KINGSTON, OK 73439-8073
(580) 564-2216
(580) 564-2298
Mailing address
701 HIGHWAY 32, KINGSTON, OK 73439-8073
(580) 564-2216
(580) 564-2298
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH4802-4802
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NH-4802-4802
NURSING HOME ID
OK
Enumeration date
10/05/2012
Last updated
10/16/2024
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