# THE ATOKA GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ATOKA COLONIAL MANOR NURSING CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942366810
- **Authorized official:** CARLA POWER (CFO)
- **Authorized official phone:** (903) 534-8667

## Contact information

- **Practice address:** 1500 S VIRGINIA AVE, ATOKA, OK 74525-3246
- **Practice address phone:** (580) 889-2500
- **Practice address fax:** (580) 889-2888
- **Mailing address:** 1901 RICKETY LN, STE 208, TYLER, TX 75703-1702
- **Mailing address phone:** (903) 534-8667
- **Mailing address fax:** (903) 509-0026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH0302-0302 | OK | Yes |

## Other

- **Enumeration date:** 12/28/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 20038500A | — | OK |