# PSG WESTERN HILLS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669411575
- **Authorized official:** LUCRETIA LEE PARKEY (EXCUTIVE DIRECTOR)
- **Authorized official phone:** (580) 342-6228

## Contact information

- **Practice address:** 5396 NW CACHE RD, LAWTON, OK 73505-3313
- **Practice address phone:** (580) 342-6228
- **Practice address fax:** (580) 342-5015
- **Mailing address:** 5396 NW CACHE RD, LAWTON, OK 73505-3313
- **Mailing address phone:** (580) 342-6228
- **Mailing address fax:** (580) 342-5015

## Taxonomy

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

## Other

- **Enumeration date:** 06/06/2006
- **Last updated:** 08/22/2020