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Organization
EASTERN OKLAHOMA NURSING HOMES, INC.
Active
Organization
EASTERN OKLAHOMA NURSING HOMES, INC.
Active
Other names
Latimer Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ALLEN REAGER (ADMINISTRATOR)
(918) 465-2255
Entity
Organization
Contact information
Practice address
103 SW 9TH ST, WILBURTON, OK 74578-3604
(918) 465-2255
(918) 465-3490
Mailing address
PO BOX 508, WILBURTON, OK 74578-0508
(918) 465-2255
(918) 465-3490
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH3902-3902
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37E139
—
OK
Enumeration date
05/18/2007
Last updated
08/22/2020
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