# CUSHING NURSING CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rest Haven Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548259781
- **Authorized official:** MR. JEFFREY W YOUNG (SECRETARY)
- **Authorized official phone:** (918) 622-4799

## Contact information

- **Practice address:** 310 N CENTRAL AVE, CUSHING, OK 74023-3204
- **Practice address phone:** (918) 225-1477
- **Practice address fax:** (918) 225-9159
- **Mailing address:** 4500 S GARNETT RD, SUITE 610, TULSA, OK 74146-5229
- **Mailing address phone:** (918) 622-4799
- **Mailing address fax:** (918) 622-4798

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH60036003 | OK | Yes |

## Other

- **Enumeration date:** 10/20/2005
- **Last updated:** 12/04/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000375343001 | BC/BS PROVIDER ID | OK |