# SHATTUCK NURSING CENTER INC

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

## Provider details

- **NPI number:** 1710062179
- **Authorized official:** MR. MIKE WILLIAMS (ADMINISTRATOR)
- **Authorized official phone:** (580) 938-2501

## Contact information

- **Practice address:** 201 N ALFALFA ST, SHATTUCK, OK 73858-7612
- **Practice address phone:** (580) 938-2501
- **Practice address fax:** (580) 938-5410
- **Mailing address:** 201 N ALFALFA ST, SHATTUCK, OK 73858-7612
- **Mailing address phone:** (580) 938-2501
- **Mailing address fax:** (580) 938-5410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH2301-2301 | OK | Yes |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 08/27/2015