# BEAVER COUNTY NURSING HOME

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

## Provider details

- **NPI number:** 1699756403
- **Authorized official:** ARLENE LAROYCE BROWN (BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (580) 625-4571

## Contact information

- **Practice address:** 200 EAST 8TH STREET, BEAVER, OK 73932
- **Practice address phone:** (580) 625-4571
- **Practice address fax:** (580) 625-4891
- **Mailing address:** PO BOX 220, BEAVER, OK 73932-0220
- **Mailing address phone:** (580) 625-4571
- **Mailing address fax:** (580) 625-4891

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH0401-0401 | OK | Yes |

## Other

- **Enumeration date:** 11/09/2005
- **Last updated:** 08/05/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100771550A | — | OK |