# HILLDALE NURSING FACILITY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coweta Manor Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881775070
- **Authorized official:** STACEY SHANKLE (ADMINISTRATOR)
- **Authorized official phone:** (918) 486-2166

## Contact information

- **Practice address:** 30049 E 151ST STREET SOUTH, COWETA, OK 74429
- **Practice address phone:** (918) 486-2166
- **Practice address fax:** (918) 486-6308
- **Mailing address:** PO BOX 490, COWETA, OK 74429-0490
- **Mailing address phone:** (918) 486-2166
- **Mailing address fax:** (918) 486-6308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH7301-7301 | OK | Yes |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 08/22/2020