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Organization
HENRYETTA COMMUNITY SKILLED HEALTHCARE AND REHAB LLC
Active
Organization
HENRYETTA COMMUNITY SKILLED HEALTHCARE AND REHAB LLC
Active
Other names
Henryetta Community Skilled Healthcare and Rehab, Henryetta Community Skilled Healthcare & Rehab, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA SIMMONS (MANAGING MEMBER)
(405) 380-6671
Entity
Organization
Contact information
Practice address
212 NORTH ANTES, HENRYETTA, OK 74437
(918) 652-8797
(918) 652-0266
Mailing address
212 N ANTES AVE, HENRYETTA, OK 74437-7331
(918) 652-8797
(918) 652-0266
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH5602
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200662260A
—
OK
Enumeration date
06/14/2016
Last updated
09/19/2025
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