# SILVER LAKE CARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CCLS, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538256698
- **Authorized official:** MRS. MELVA J PARISH (CPA)
- **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:** 6006 SE ADAMS BLVD, BARTLESVILLE, OK 74006-8960
- **Mailing address phone:** (918) 335-2172
- **Mailing address fax:** (918) 333-4967

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH7406-7406 | OK | Yes |

## Other

- **Enumeration date:** 10/09/2006
- **Last updated:** 02/13/2008