# GGP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GRAN GRAN'S PLACE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457351827
- **Authorized official:** MRS. NELL LUSTY (ADMIN/OWNER)
- **Authorized official phone:** (405) 350-2311

## Contact information

- **Practice address:** 1110 S CORNWELL DR, YUKON, OK 73099-4632
- **Practice address phone:** (405) 350-2311
- **Practice address fax:** (405) 350-2379
- **Mailing address:** 1110 S CORNWELL DR, YUKON, OK 73099-4632
- **Mailing address phone:** (405) 350-2311
- **Mailing address fax:** (405) 350-2379

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH0905-0905 | OK | Yes |

## Other

- **Enumeration date:** 07/28/2005
- **Last updated:** 10/21/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100778340A | — | OK |