Organization
MARIETTA OPERATING CO, LLC
Active
Other names
Lake Country Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
TOM C. COBLE (MANAGER)
(580) 220-7093
Entity
Organization
Contact information
Practice address
301 C E COLSTON DR, MARIETTA, OK 73448-2169
(580) 634-4712
(580) 276-2100
Mailing address
1908 12TH AVE NW STE E, ARDMORE, OK 73401-1255
(580) 226-3055
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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