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Organization
WEWOKA HEALTHCARE CENTER LLC
Active
Organization
WEWOKA HEALTHCARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BART REED (MANAGER)
(580) 436-0950
Entity
Organization
Contact information
Practice address
1400 W 1ST ST, WEWOKA, OK 74884-5006
(405) 257-3393
(405) 257-6407
Mailing address
1400 W 1ST ST, WEWOKA, OK 74884-5004
(580) 436-0950
(580) 436-0953
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
NH6705-6705
OK
314000000X
Skilled Nursing Facility
Primary
NH6705-6705
OK
Other
Enumeration date
01/30/2011
Last updated
04/07/2020
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