# NURSING CENTER OF THE SOUTHWEST LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PLANTATION VILLAGE NURSING CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891728820
- **Authorized official:** MR. B. WADE BRINKMAN (ADMINISTRATOR)
- **Authorized official phone:** (580) 480-1800

## Contact information

- **Practice address:** 2610 CEDAR CREEK DR, ALTUS, OK 73521-1312
- **Practice address phone:** (580) 480-1800
- **Practice address fax:** (580) 477-2006
- **Mailing address:** 2610 CEDAR CREEK DR, ALTUS, OK 73521-1312
- **Mailing address phone:** (580) 480-1800
- **Mailing address fax:** (580) 477-2006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH3305-3305 | OK | Yes |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 08/22/2020