# FCC OF KINGSTON LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306198932
- **Authorized official:** JOE SCEARCE (MANAGING MEMBER)
- **Authorized official phone:** (405) 905-9133

## Contact information

- **Practice address:** 701 HIGHWAY 32, KINGSTON, OK 73439-8073
- **Practice address phone:** (580) 564-2216
- **Practice address fax:** (580) 564-2298
- **Mailing address:** 701 HIGHWAY 32, KINGSTON, OK 73439-8073
- **Mailing address phone:** (580) 564-2216
- **Mailing address fax:** (580) 564-2298

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH4802-4802 | OK | Yes |

## Other

- **Enumeration date:** 10/05/2012
- **Last updated:** 10/16/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | NH-4802-4802 | NURSING HOME ID | OK |