# SALLISAW STATE VETERANS HOME

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

## Provider details

- **NPI number:** 1699569178
- **Authorized official:** CAMI MCKINNEY (COMPLIANCE DIRECTOR)
- **Authorized official phone:** (405) 255-8891

## Contact information

- **Practice address:** 2343 S KERR BLVD, SALLISAW, OK 74955
- **Practice address phone:** (918) 774-4859
- **Mailing address:** 3001 W BLUE STARR DR, CLAREMORE, OK 74017-2544
- **Mailing address phone:** (405) 255-8891

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | — | — |

## Other

- **Enumeration date:** 04/08/2025
- **Last updated:** 04/08/2025