# CHECOTAH NURSING AND REHABILITATION LLC

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

## Provider details

- **NPI number:** 1871036616
- **Authorized official:** BARNEY KENT ABBOTT (MEMBER)
- **Authorized official phone:** (405) 445-0074

## Contact information

- **Practice address:** 321 SE 2ND ST, CHECOTAH, OK 74426-4005
- **Practice address phone:** (918) 473-2251
- **Practice address fax:** (918) 473-6774
- **Mailing address:** PO BOX 70, HYDRO, OK 73048-0070
- **Mailing address phone:** (866) 219-3619

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH4602-4602 | OK | Yes |

## Other

- **Enumeration date:** 11/28/2016
- **Last updated:** 06/15/2021