# MUSKOGEE HEALTH SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Muskogee Nursing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932144581
- **Authorized official:** MR. TOM M MONTGOMERY (OWNER)
- **Authorized official phone:** (918) 683-9407

## Contact information

- **Practice address:** 602 N M ST, MUSKOGEE, OK 74403-4332
- **Practice address phone:** (918) 682-9232
- **Practice address fax:** (918) 686-8629
- **Mailing address:** 1929 BETTY JANE LN, MUSKOGEE, OK 74403-1581
- **Mailing address phone:** (918) 683-9407
- **Mailing address fax:** (918) 683-1979

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH51085108 | OK | Yes |

## Other

- **Enumeration date:** 06/18/2006
- **Last updated:** 11/13/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200047290A | — | OK |