# GREENBRIER NURSING HOME NUMBER TWO, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GREENBRIER NH \#2, INC.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487654786
- **Authorized official:** JIM THORPE (ADMINISTRATOR)
- **Authorized official phone:** (580) 233-0121

## Contact information

- **Practice address:** 1119 E GARRIOTT RD, ENID, OK 73701-6151
- **Practice address phone:** (580) 223-0121
- **Practice address fax:** (580) 233-3755
- **Mailing address:** 1119 E GARRIOTT RD, ENID, OK 73701-6151
- **Mailing address phone:** (580) 223-0121
- **Mailing address fax:** (580) 233-3755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH2404-2404 | OK | Yes |

## Other

- **Enumeration date:** 07/28/2005
- **Last updated:** 01/06/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100775230A | — | OK |
