# WEATHERFORD HEALTH SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Weatherford Living Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801831425
- **Authorized official:** MR. SCHUYLER MONTGOMERY (OWNER)
- **Authorized official phone:** (918) 683-9407

## Contact information

- **Practice address:** 2200 LYLE RD, WEATHERFORD, OK 73096-2912
- **Practice address phone:** (580) 774-1235
- **Practice address fax:** (580) 774-1258
- **Mailing address:** 1929 BETTY JANE LN, MUSKOGEE, OK 74403-1581
- **Mailing address phone:** (918) 683-9407
- **Mailing address fax:** (918) 683-1979

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH20052005 | OK | Yes |

## Other

- **Enumeration date:** 06/18/2006
- **Last updated:** 08/25/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200055120A | — | OK |