# SENIOR NH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Enid Senior Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467759951
- **Authorized official:** CHRIS BROGDON (MANAGER)
- **Authorized official phone:** (770) 650-8793

## Contact information

- **Practice address:** 410 N 30TH ST, ENID, OK 73701-3774
- **Practice address phone:** (580) 237-1973
- **Practice address fax:** (580) 237-0755
- **Mailing address:** 410 N 30TH ST, ENID, OK 73701-3774
- **Mailing address phone:** (580) 237-1973
- **Mailing address fax:** (580) 237-0755

## Taxonomy

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

## Other

- **Enumeration date:** 02/17/2011
- **Last updated:** 01/19/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200058950A | — | OK |