# OAK HILLS CARE CENTER RECEIVERSHIP , LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oak Hills Care Center , LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689234627
- **Authorized official:** MR. RANDY L GOODMAN (RECEIVER)
- **Authorized official phone:** (405) 769-7990

## Contact information

- **Practice address:** 1100 GEORGIA ST, JONES, OK 73049-7556
- **Practice address phone:** (405) 399-2296
- **Practice address fax:** (405) 399-5037
- **Mailing address:** PO BOX 1218, NICOMA PARK, OK 73066-1218
- **Mailing address phone:** (405) 769-7990
- **Mailing address fax:** (405) 769-7970

## Taxonomy

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

## Other

- **Enumeration date:** 06/20/2019
- **Last updated:** 06/20/2019