# LANE NURSING & VENTILATOR CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Inola Health & Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467790402
- **Authorized official:** MS. CASEY L DAVES MS, SLP, LNHA (OWNER/OPERATOR)
- **Authorized official phone:** (918) 994-4300

## Contact information

- **Practice address:** 400 N BROADWAY, INOLA, OK 74036-9424
- **Practice address phone:** (918) 543-8800
- **Practice address fax:** (918) 543-8801
- **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 | NH6606-6606 | OK | Yes |

## Other

- **Enumeration date:** 01/25/2013
- **Last updated:** 11/12/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200542340A | — | OK |