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Organization
PUTNAM CITY CONVALESCENT CENTER, LLC
Active
Organization
PUTNAM CITY CONVALESCENT CENTER, LLC
Active
Other names
GRACE LIVING CENTER - BETHANY, The Grand at Bethany Skilled Nursing and Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY DEROIN (DIRECTOR OF REIMBURSEMENT)
(405) 943-1144
Entity
Organization
Contact information
Practice address
7000 NW 32ND ST, BETHANY, OK 73008-3910
(405) 789-7242
(405) 495-7562
Mailing address
7000 NW 32ND ST, BETHANY, OK 73008-3910
(405) 789-7242
(405) 495-7562
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH5518-5518
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100776760A
—
OK
Enumeration date
09/14/2006
Last updated
10/14/2025
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