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Organization
SHAMROCK CARE CENTERS LLC
Active
Organization
SHAMROCK CARE CENTERS LLC
Active
Other names
First Shamrock Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BRANDON MORGAN (CEO)
(479) 769-5535
Entity
Organization
Contact information
Practice address
1415 S MAIN ST, KINGFISHER, OK 73750-4403
(405) 375-3157
(405) 375-6078
Mailing address
1415 S. MAIN, KINGFISHER, OK 73750
(405) 375-3157
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100778600A
—
OK
Enumeration date
10/04/2005
Last updated
10/03/2019
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