# WELLINGTON HILLS NURSING CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wellington Hills Living and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457349631
- **Authorized official:** MR. CHARLES FRANCIS HARDY III (PRESIDENT)
- **Authorized official phone:** (918) 691-1051

## Contact information

- **Practice address:** 607 WOODLAND ST, EUFAULA, OK 74432-3611
- **Practice address phone:** (918) 689-2508
- **Practice address fax:** (918) 689-2555
- **Mailing address:** 607 WOODLAND ST, EUFAULA, OK 74432-3611
- **Mailing address phone:** (918) 689-2508
- **Mailing address fax:** (918) 689-2555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH4604 | OK | — |
| 314000000X | Skilled Nursing Facility | NH4604 | OK | Yes |

## Other

- **Enumeration date:** 10/11/2005
- **Last updated:** 11/11/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000375316001 | BLUE CROSS BLUE SHIELD | OK |
| 05 | — | 100777410B | — | OK |