# WADLEY CARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WADLEY CARE CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1972509172
- **Legal business name:** WADLEY CARE CENTER
- **Authorized official:** MR. DAVID WADLEY (OWNER)
- **Authorized official phone:** (405) 527-7798

## Contact information

- **Practice address:** 801 N. 6TH STREET, PURCELL, OK 73080
- **Practice address phone:** (405) 527-7798
- **Practice address fax:** (405) 527-5175
- **Mailing address:** P.O. BOX 1675, PURCELL, OK 73080-1675
- **Mailing address phone:** (405) 527-7798
- **Mailing address fax:** (405) 527-5175

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 375286 | OK | Yes |

## Other

- **Enumeration date:** 06/22/2005
- **Last updated:** 11/01/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100777470A | — | OK |