# BIXBY HEALTH AND REHABILITATION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southtown Nursing and Ventilator Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376851402
- **Authorized official:** MR. WILLIAM EDWARD DAVES (MANAGING MEMBER)
- **Authorized official phone:** (580) 286-2537

## Contact information

- **Practice address:** 76 W RACHEL ST, BIXBY, OK 74008-4908
- **Practice address phone:** (918) 366-4491
- **Mailing address:** 2310 S CENTRAL, IDABEL, OK 74745-7916
- **Mailing address phone:** (580) 286-2664

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH7203-7203 | OK | Yes |

## Other

- **Enumeration date:** 09/23/2010
- **Last updated:** 09/23/2010