# EDNA LEE'S RESIDENTIAL CARE

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

## Provider details

- **NPI number:** 1508070830
- **Authorized official:** MS. DONNA J KELLEY (ADMINISTRATOR)
- **Authorized official phone:** (918) 256-3131

## Contact information

- **Practice address:** 421 W SOUTH AVE, VINITA, OK 74301-4143
- **Practice address phone:** (918) 256-3131
- **Mailing address:** 421 W SOUTH AVE, VINITA, OK 74301-4143

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | RC1806-1806 | OK | Yes |

## Other

- **Enumeration date:** 05/09/2007
- **Last updated:** 08/22/2020