Organization
NOWATA LTC LLC
Active
Other names
NOWATA NURSING CENTER, El Reno Health Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY LANCE GUYMON (CONSULTANT)
(405) 312-8050
Entity
Organization
Contact information
Practice address
436 S JOE ST, NOWATA, OK 74048-3233
(918) 775-4439
(918) 775-9242
Mailing address
210 E CHOCTAW AVE, SALLISAW, OK 74955-4604
(918) 775-4439
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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