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Organization
LARRY L CAIN
Active
Organization
LARRY L CAIN
Active
Other names
Care Living Center of El Reno
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY L CAIN (RECEIVER)
(918) 625-3899
Entity
Organization
Contact information
Practice address
2100 TOWNSEND DR, EL RENO, OK 73036-2116
(405) 262-3323
Mailing address
1021 CHARLES PAGE BLVD, TULSA, OK 74127-8815
(918) 625-3899
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH090401
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200118050
—
OK
Enumeration date
07/26/2010
Last updated
06/22/2011
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