# MEDI-PLEX NURSING CENTERS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Willow Haven Nursing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386631398
- **Authorized official:** MS. SANDRA TAYLOR (VP IN CHARGE OF REIMBURSEMENT)
- **Authorized official phone:** (918) 775-6200

## Contact information

- **Practice address:** 1301 N 5TH ST, TONKAWA, OK 74653-1513
- **Practice address phone:** (580) 628-2529
- **Practice address fax:** (580) 628-3517
- **Mailing address:** 1301 N 5TH ST, TONKAWA, OK 74653-1513
- **Mailing address phone:** (580) 628-2529
- **Mailing address fax:** (580) 628-3517

## Taxonomy

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

## Other

- **Enumeration date:** 10/04/2005
- **Last updated:** 08/22/2020