# SOUTHWEST LTC - NW OKC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northwest Nursing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700267754
- **Authorized official:** RONALD R PAYNE JD (CEO)
- **Authorized official phone:** (469) 916-6100

## Contact information

- **Practice address:** 2801 NW 61ST ST, OKLAHOMA CITY, OK 73112-7007
- **Practice address phone:** (405) 842-6601
- **Practice address fax:** (405) 810-8482
- **Mailing address:** 1518 LEGACY DR, SUITE 110, FRISCO, TX 75034-6038
- **Mailing address phone:** (469) 916-6100
- **Mailing address fax:** (469) 916-6105

## Taxonomy

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

## Other

- **Enumeration date:** 06/16/2015
- **Last updated:** 06/16/2015