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Organization
HASKELL CARE CENTER LLC
Active
Organization
HASKELL CARE CENTER LLC
Active
Other names
haskell care center
Organization subpart
No
Provider details
NPI number
Authorized official
PAM HUMPHREYS (OWNER)
(405) 379-0039
Entity
Organization
Contact information
Practice address
405 N CHOCTAW AVENUE, HASKELL, OK 74436-1319
(918) 482-3310
(918) 482-6801
Mailing address
405 N CHOCTAW AVENUE, HASKELL, OK 74436-1319
(918) 482-3310
(918) 482-6901
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH5104-5104
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100772190A
—
OK
Enumeration date
07/28/2005
Last updated
01/06/2025
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