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Organization
N&R OF CHICKASHA, LLC
Active
Organization
N&R OF CHICKASHA, LLC
Active
Other names
Shanoan Springs Residence
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY H TRUMBO (CFO)
(502) 254-9525
Entity
Organization
Contact information
Practice address
2500 S 12TH ST, CHICKASHA, OK 73018-6700
(405) 224-1397
Mailing address
329 TOWNEPARK CIR, LOUISVILLE, KY 40243-2348
(502) 254-9525
(502) 954-9524
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200410950A
—
OK
Enumeration date
07/29/2011
Last updated
08/27/2025
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