# CSCC NURSING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Companions Specialized Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538416656
- **Authorized official:** BOYD P GENTRY (PRESIDENT & CEO)
- **Authorized official phone:** (678) 869-5118

## Contact information

- **Practice address:** 6201 E 36TH ST, TULSA, OK 74135-5810
- **Practice address phone:** (918) 622-3430
- **Practice address fax:** (918) 622-0626
- **Mailing address:** 6201 E 36TH ST, TULSA, OK 74135-5810
- **Mailing address phone:** (918) 622-3430
- **Mailing address fax:** (918) 622-0626

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 08/08/2012
- **Last updated:** 08/09/2012