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Organization
PF SOUTH YUKON SNF OPS, LLC
Active
Organization
PF SOUTH YUKON SNF OPS, LLC
Active
Other names
Ranchwood Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES M CHANCE (AUTHORIZED OFFICER)
(214) 725-2837
Entity
Organization
Contact information
Practice address
824 S YUKON PKWY, YUKON, OK 73099-4584
(405) 354-2022
(405) 354-8461
Mailing address
1500 WATERS RIDGE DR, LEWISVILLE, TX 75057-6011
(972) 899-4401
(972) 899-4806
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH5604-5604
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200060680A
—
OK
Enumeration date
01/18/2006
Last updated
11/12/2020
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