Organization
CP SNF OPS LLC
Active
Other names
Heartway at Colonial Park Health and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY SUZETTE BAUCOM (REGIONAL DIRECTOR)
(479) 312-8280
Entity
Organization
Contact information
Practice address
600 W FRONTAGE RD, OKEMAH, OK 74859-6442
(918) 623-1936
Mailing address
1305 SE ADAMS ST, IDABEL, OK 74745-5240
(580) 286-1065
(580) 286-3926
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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