# CCLS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Silver Lake Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528254455
- **Authorized official:** MRS. JOANN HART (ADMINISTRATOR)
- **Authorized official phone:** (918) 335-2172

## Contact information

- **Practice address:** 6006 SE ADAMS BLVD, BARTLESVILLE, OK 74006-8960
- **Practice address phone:** (918) 335-2172
- **Practice address fax:** (918) 333-4967
- **Mailing address:** 521 MAIN ST, VAN BUREN, AR 72956-5109
- **Mailing address phone:** (479) 410-1740
- **Mailing address fax:** (479) 410-1596

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH7406-7406 | OK | Yes |

## Other

- **Enumeration date:** 09/25/2007
- **Last updated:** 06/23/2008