# LITTLE BIRD NURSING HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962405118
- **Authorized official:** MRS. LORENE BISHOP (ADMINISTRATOR/OWNER)
- **Authorized official phone:** (580) 772-3993

## Contact information

- **Practice address:** 801 N WASHINGTON ST, WEATHERFORD, OK 73096-4032
- **Practice address phone:** (580) 772-3993
- **Mailing address:** PO BOX 608, WEATHERFORD, OK 73096-0608
- **Mailing address phone:** (580) 772-3993
- **Mailing address fax:** (580) 774-1032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 3700379 | OK | Yes |

## Other

- **Enumeration date:** 05/23/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3700379 | — | OK |