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Organization
THE ATOKA GROUP, LLC
Active
Organization
THE ATOKA GROUP, LLC
Active
Other names
ATOKA COLONIAL MANOR NURSING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA POWER (CFO)
(903) 534-8667
Entity
Organization
Contact information
Practice address
1500 S VIRGINIA AVE, ATOKA, OK 74525-3246
(580) 889-2500
(580) 889-2888
Mailing address
1901 RICKETY LN, STE 208, TYLER, TX 75703-1702
(903) 534-8667
(903) 509-0026
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH0302-0302
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20038500A
—
OK
Enumeration date
12/28/2006
Last updated
08/22/2020
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