# SPRINGHILL HEALTHCARE LLC

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

## Provider details

- **NPI number:** 1821679812
- **Authorized official:** AUBREY MONTGOMERY (MEMBER)
- **Authorized official phone:** (479) 236-9507

## Contact information

- **Practice address:** 1400 W 1ST ST, WEWOKA, OK 74884-5004
- **Practice address phone:** (479) 250-5558
- **Practice address fax:** (479) 715-6922
- **Mailing address:** 444991 EAST LOOP ROAD, GORE, OK 74435
- **Mailing address phone:** (479) 250-5558
- **Mailing address fax:** (479) 715-6922

## Taxonomy

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

## Other

- **Enumeration date:** 04/20/2021
- **Last updated:** 04/20/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | NH6705-6705 | NH LICENSE | OK |