# DAVIS HEALTH AND REHABILITATION, LLC

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

## Provider details

- **NPI number:** 1437320876
- **Authorized official:** MRS. CASEY L. DAVES (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (918) 994-4300

## Contact information

- **Practice address:** 505 S 7TH ST, DAVIS, OK 73030-3136
- **Practice address phone:** (580) 369-2653
- **Practice address fax:** (580) 369-2445
- **Mailing address:** 705 W QUEENS ST, BROKEN ARROW, OK 74012-1767
- **Mailing address phone:** (918) 994-4300
- **Mailing address fax:** (918) 994-4301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 5002 | OK | Yes |

## Other

- **Enumeration date:** 03/13/2008
- **Last updated:** 09/12/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100774540A | — | OK |
