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Organization

GUTHRIE COTTAGES, LLC

Active
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Organization

GUTHRIE COTTAGES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BILL BUSH (CFO)
(405) 285-8166
Entity
Organization

Contact information

Practice address
2102 W WARNER, GUTHRIE, OK 73044
(405) 282-5775
Mailing address
3325 FRENCH PARK DR, SUITE 6, EDMOND, OK 73034-7277
(405) 285-8166

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
NH4209
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100772950B
—
OK
Enumeration date
09/24/2015
Last updated
09/24/2015
About Stedi
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