# SERVANT LIVING CENTER - BEGGS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Country Lane Cottage 5
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376075051
- **Authorized official:** SCOTT PILGRIM (MEMBER)
- **Authorized official phone:** (405) 285-8166

## Contact information

- **Practice address:** 511 N CHIPPEWA, BEGGS, OK 74421-2053
- **Practice address phone:** (918) 267-3362
- **Practice address fax:** (405) 563-9447
- **Mailing address:** 3325 FRENCH PARK DR, SUITE 6, EDMOND, OK 73034-7277
- **Mailing address phone:** (405) 285-8166
- **Mailing address fax:** (405) 563-9447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | NH5619 | OK | Yes |

## Other

- **Enumeration date:** 03/31/2017
- **Last updated:** 03/31/2017