# HASKELL NURSING & REHAB LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Haskell Nursing & Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316713043
- **Authorized official:** BRADFORD MONTGOMERY (MANAGING MEMBER)
- **Authorized official phone:** (479) 236-9507

## Contact information

- **Practice address:** 1402 NW 7TH ST, STIGLER, OK 74462-2791
- **Practice address phone:** (918) 967-3381
- **Practice address fax:** (918) 967-3382
- **Mailing address:** 5305 W VILLAGE PKWY STE 9, ROGERS, AR 72758-8116
- **Mailing address phone:** (479) 236-9507
- **Mailing address fax:** (479) 715-6922

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 12/04/2023
- **Last updated:** 12/04/2023