# 24TH PLACE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396291365
- **Authorized official:** BART REED (MANAGER)
- **Authorized official phone:** (580) 399-7920

## Contact information

- **Practice address:** 600 24TH AVE SW, NORMAN, OK 73069-3913
- **Practice address phone:** (405) 747-6154
- **Mailing address:** 131 N BROADWAY AVE, ADA, OK 74820-5003
- **Mailing address phone:** (580) 436-0950
- **Mailing address fax:** (580) 436-0953

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH1409-1409 | OK | Yes |

## Other

- **Enumeration date:** 08/30/2016
- **Last updated:** 01/20/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200102120A | — | OK |