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Organization
GOLDEN AGE NURSING HOME OF GUTHRIE LLC
Active
Organization
GOLDEN AGE NURSING HOME OF GUTHRIE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANDIE HASTINGS (SOLE MEMBER)
(405) 282-6285
Entity
Organization
Contact information
Practice address
419 E OKLAHOMA AVE, GUTHRIE, OK 73044-3316
(405) 282-0144
(405) 282-2129
Mailing address
PO BOX 1095, GUTHRIE, OK 73044-1095
(405) 282-6285
(405) 282-5731
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH4203
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200117960A
—
OK
Enumeration date
05/24/2007
Last updated
04/19/2012
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