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Organization
BLEVINS RETIREMENT & CARE CENTER L L C
Active
Organization
BLEVINS RETIREMENT & CARE CENTER L L C
Active
Other names
Blevins Retirement & Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN PRICE (MEMBER)
(918) 967-9285
Entity
Organization
Contact information
Practice address
1220 E ELECTRIC AVE, MCALESTER, OK 74501-3832
(918) 423-9095
(918) 423-1317
Mailing address
1220 E ELECTRIC AVE, MCALESTER, OK 74501-3832
(918) 423-9095
(918) 423-1317
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
100778160A
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100778160A
—
OK
Enumeration date
02/07/2007
Last updated
04/18/2012
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