# CLAREMORE NURSING HOME, INC

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

## Provider details

- **NPI number:** 1699768309
- **Authorized official:** MR. BRETT L LESSLEY (PRESIDENT)
- **Authorized official phone:** (918) 283-4306

## Contact information

- **Practice address:** 920 E 16TH ST, CLAREMORE, OK 74017-3165
- **Practice address phone:** (918) 341-4857
- **Mailing address:** 920 E 16TH ST, CLAREMORE, OK 74017-3165
- **Mailing address phone:** (918) 341-4857

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH6601-6601 | OK | Yes |

## Other

- **Enumeration date:** 08/26/2005
- **Last updated:** 11/23/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100771460A | — | OK |