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Organization
WEATHERFORD HEALTH SERVICES, LLC
Active
Organization
WEATHERFORD HEALTH SERVICES, LLC
Active
Other names
Weatherford Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCHUYLER MONTGOMERY (OWNER)
(918) 683-9407
Entity
Organization
Contact information
Practice address
2200 LYLE RD, WEATHERFORD, OK 73096-2912
(580) 774-1235
(580) 774-1258
Mailing address
1929 BETTY JANE LN, MUSKOGEE, OK 74403-1581
(918) 683-9407
(918) 683-1979
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH20052005
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200055120A
—
OK
Enumeration date
06/18/2006
Last updated
08/25/2008
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