# VIAN NURSING HOME, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497760268
- **Authorized official:** MR. BILLY FULLBRIGHT (ADMINISTRATOR)
- **Authorized official phone:** (918) 773-5258

## Contact information

- **Practice address:** 305 NORTH THORNTON, VIAN, OK 74962
- **Practice address phone:** (918) 773-5258
- **Practice address fax:** (918) 773-5136
- **Mailing address:** 305 NORTH THORNTON, VIAN, OK 74962
- **Mailing address phone:** (918) 773-5258
- **Mailing address fax:** (918) 773-5136

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH68046804 | OK | Yes |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 08/22/2020