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Organization
NURSING CENTER OF THE SOUTHWEST LLC
Active
Organization
NURSING CENTER OF THE SOUTHWEST LLC
Active
Other names
PLANTATION VILLAGE NURSING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. B. WADE BRINKMAN (ADMINISTRATOR)
(580) 480-1800
Entity
Organization
Contact information
Practice address
2610 CEDAR CREEK DR, ALTUS, OK 73521-1312
(580) 480-1800
(580) 477-2006
Mailing address
2610 CEDAR CREEK DR, ALTUS, OK 73521-1312
(580) 480-1800
(580) 477-2006
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH3305-3305
OK
Other
Enumeration date
07/10/2006
Last updated
08/22/2020
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