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Organization
SPANISH COVE HOUSING AUTHORITY
Active
Organization
SPANISH COVE HOUSING AUTHORITY
Active
Other names
Spanish Cove Retirement Village
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD N. BLOSE (CEO & EXECUTIVE ADMINISTRATOR)
(405) 354-1901
Entity
Organization
Contact information
Practice address
11 PALM AVE, YUKON, OK 73099-5645
(405) 354-1901
(405) 354-6584
Mailing address
11 PALM AVE, YUKON, OK 73099-5645
(405) 354-1901
(405) 354-6584
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
314000000X
Skilled Nursing Facility
Primary
CC0901-0901
OK
Other
Enumeration date
04/05/2013
Last updated
10/14/2024
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