# CLINTON THERAPY & LIVING CENTER, LLC

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

## Provider details

- **NPI number:** 1669985305
- **Authorized official:** MR. MICHAEL BRANDON MORGAN (CEO)
- **Authorized official phone:** (479) 769-5535

## Contact information

- **Practice address:** 2316 W MODELLE AVE, CLINTON, OK 73601-3722
- **Practice address phone:** (580) 323-0912
- **Practice address fax:** (580) 323-4935
- **Mailing address:** 2316 W MODELLE AVE, CLINTON, OK 73601-3722
- **Mailing address phone:** (580) 323-0912
- **Mailing address fax:** (580) 323-4935

## Taxonomy

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

## Other

- **Enumeration date:** 11/15/2017
- **Last updated:** 11/15/2017