# SERVANT LIVING CENTER-THOMAS LLC

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

## Provider details

- **NPI number:** 1730102617
- **Authorized official:** MR. SCOTT D PILGRIM (MANAGING MEMBER)
- **Authorized official phone:** (405) 285-8166

## Contact information

- **Practice address:** 601 E FRISCO, THOMAS, OK 73669
- **Practice address phone:** (580) 661-3260
- **Practice address fax:** (580) 661-3263
- **Mailing address:** 129 W 1ST STREET, SUITE B, EDMOND, OK 73003
- **Mailing address phone:** (405) 285-8166
- **Mailing address fax:** (405) 285-8177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH2004-2004 | OK | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 08/22/2020